Individual provider · Type 1 NPI
Henry O. Edobor
Child Mental Illness Respite Care · Jamaica, NY
NPI number
1023596699
Active
Practice location
14927 Jamaica Ave Ste 5
Jamaica, NY 11435-4078
Fax (718) 880-1974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care Primary | 385HR2055X | None listed |
Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
About NPI 1023596699
Henry O. Edobor's National Provider Identifier is 1023596699, issued on Aug 5, 2018. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Jamaica, NY. The record was last updated on Aug 5, 2018.