Provider Demographics
NPI:1952552358
Name:IMARA RESOURCES, LLC
Entity Type:Organization
Organization Name:IMARA RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW-PIP
Authorized Official - Phone:256-237-9200
Mailing Address - Street 1:PO BOX 282
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-0282
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7 E 13TH ST
Practice Address - Street 2:SUITE 227
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4601
Practice Address - Country:US
Practice Address - Phone:256-237-9200
Practice Address - Fax:256-237-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health