| NPI | 1275977357 |
|---|---|
| Former Legal Business Name | IMAMI COMMUNITY CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLIE GLEE NDIAYE CEO 662-289-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2014-03-13 |