| NPI | 1295416089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EGBEAZIEN OSHODI President 305-636-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TF0000X Psychologist, Family | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-05-14 |