Organization · Type 2 NPI
Imani Community Center
Mental Health Counselor · Kosciusko, MS
NPI number
1740650969
Active
Practice location
207 Poplar St
Kosciusko, MS 39339
Fax (662) 289-1010
Mailing address
207 Poplar St
Kosciusko, MS 39090-4409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0050750 (MS) |
| Preferred Provider Organization | 305R00000X | 08533763 (MS) |
Mental Health Counselor: Definition to come...
About NPI 1740650969
Imani Community Center's National Provider Identifier is 1740650969, issued on Sep 30, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kosciusko, MS. The record was last updated on Sep 30, 2015.