| Imani Community Outreach Center | |
|
301 E Jefferson St Kosciusko MS 39090-3719 | |
| (662) 289-7676 | |
| Not Available |
| Full Name | Imani Community Outreach Center |
|---|---|
| Speciality | Social Worker |
| Location | 301 E Jefferson St, Kosciusko, Mississippi |
| Authorized Official Name and Position | Tricia Duncan (BILLER) |
| Authorized Official Contact | 6018786945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imani Community Outreach Center 301 E Jefferson St Kosciusko MS 39090-3719 Ph: (662) 289-7676 | Imani Community Outreach Center 301 E Jefferson St Kosciusko MS 39090-3719 Ph: (662) 289-7676 |
| NPI Number | 1467728360 |
|---|---|
| Provider Enumeration Date | 03/26/2012 |
| Last Update Date | 03/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467728360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | W7478 (Mississippi) | Primary |
Montfort Jones Memorial Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Hwy 12 W, Kosciusko, MS 39090 Phone: 662-290-3304 Fax: 662-290-3302 | |
Huntington House Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Wells St, Suite A, Kosciusko, MS 39090 Phone: 662-792-2160 | |
Imani Community Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Poplar St, Kosciusko, MS 39339 Phone: 662-803-1254 Fax: 662-289-1010 | |
Brighter Horizon Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Wells St, Ste-a, Kosciusko, MS 39090 Phone: 662-792-2160 Fax: 662-792-4209 |