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Organization

HUNTINGTON HOUSE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY GRIFFIN (OWNER)
(662) 792-2160
Entity
Organization

Contact information

Practice address
115 N WELLS ST, SUITE A, KOSCIUSKO, MS 39090-3647
(662) 792-2160
Mailing address
115 N WELLS ST, SUITE A, KOSCIUSKO, MS 39090-3647
(662) 792-2160

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/20/2015
Last updated
07/20/2015
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