NPI 1710253091

Imani House

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Tallahassee, FL

Practice location

Address: 709 Millard St, Tallahassee, FL 32301-7037
Phone: (850) 878-8870
Fax: (850) 877-1760

Authorised official

Name: Sakinah Mujahid
Title: Director of Program Deveolpment
Phone: (850) 459-4956

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1710253091
Entity type: Organization
NPI issued: 30 Mar 2012
Record last updated: 30 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.