| Odida,inc. | |
|
3645 Marketplace Blvd Ste 130-63 East Point GA 30344-5747 | |
| (704) 999-2089 | |
| Not Available |
| Full Name | Odida,inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3645 Marketplace Blvd Ste 130-63, East Point, Georgia |
| Authorized Official Name and Position | Franklin F Igwilo (CEO) |
| Authorized Official Contact | 7046758906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odida,inc. 3645 Marketplace Blvd Ste 130-63 East Point GA 30344-5747 Ph: (704) 999-2089 | Odida,inc. 3645 Marketplace Blvd Ste 130-63 East Point GA 30344-5747 Ph: (704) 999-2089 |
| NPI Number | 1104157213 |
|---|---|
| Provider Enumeration Date | 01/29/2010 |
| Last Update Date | 01/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104157213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |
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