| Huntington House Center Llc | |
|
115 N Wells St Suite A Kosciusko MS 39090-3647 | |
| (662) 792-2160 | |
| Not Available |
| Full Name | Huntington House Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 115 N Wells St, Kosciusko, Mississippi |
| Authorized Official Name and Position | Gregory Griffin (OWNER) |
| Authorized Official Contact | 6627922160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington House Center Llc 115 N Wells St Suite A Kosciusko MS 39090-3647 Ph: (662) 792-2160 | Huntington House Center Llc 115 N Wells St Suite A Kosciusko MS 39090-3647 Ph: (662) 792-2160 |
| NPI Number | 1689059669 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689059669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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