institution
Modupeola Adedeji
Mental Health Clinic/Center (Including Community Mental Health Center) in San Antonio, Texas
NPI 1336137678

Modupeola Adedeji is a Mental Health Clinic/Center (Including Community Mental Health Center) based in San Antonio, TX and is specialized in Mental Health (Including Community Mental Health Center). Modupeola Adedeji practices in San Antonio, TX. The NPI Number for Modupeola Adedeji is 1336137678 and holds a License No. (Texas).

The current practice location address for Modupeola Adedeji is 530 San Pedro Ave, San Antonio, TX and can be reached out via phone at 210-697-5700 and via fax at 210-558-9032. You can also correspond with Modupeola Adedeji through the mailing address at 530 SAN PEDRO AVE, SAN ANTONIO, TX - 78212-5006 (mailing address contact number: 210-697-5700).

Location: 530 San Pedro Ave, San Antonio, TX, 78212-5006
institution
Provider Profile Details
NPI Number
1336137678
Provider Name
Modupeola Adedeji
Credential
Provider Entity Type
Organization
Address
530 San Pedro Ave, San Antonio, TX, 78212-5006
Phone Number
210-697-5700
Fax Number
210-558-9032
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
021375301 05 TX
institution
Provider Business Practice Location Address Details
Address
530 San Pedro Ave
City
State
Zip
78212-5006
Phone Number
210-697-5700
Fax Number
210-558-9032
person
Provider Business Mailing Address Details
Address
530 San Pedro Ave
City
State
Zip
78212-5006
Phone Number
210-697-5700
Fax Number
210-558-9032
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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