Modupeola Olajumoke Adedeji in San Antonio - Mental Health (including Community Mental Health Center)

Modupeola Olajumoke Adedeji - NPI 1932186863

Modupeola Olajumoke Adedeji is a Mental Health (including Community Mental Health Center) in San Antonio, Texas. Modupeola Olajumoke Adedeji practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Modupeola Olajumoke Adedeji is 1932186863. The last update date is 2012-09-27.

Modupeola Olajumoke Adedeji's current location address is 530 San Pedro Ave, San Antonio, Texas. You can contact this provider via phone number 2106975700 and fax number 2105589032. The mailing address for Modupeola Olajumoke Adedeji is 530 San Pedro Ave, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Modupeola Olajumoke Adedeji
Address 530 San Pedro Ave, San Antonio, Texas
Phone Number 2106975700
Fax Number 2105589032
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Adedeji Adediran
Telephone Number 2106975700

NPI Number Detail

NPI Number 1932186863
Provider Enumeration Date 2005-12-30
Last Updated Date 2012-09-27

Provider Mailing Address Detail

Address 530 San Pedro Ave
City San Antonio
State Texas (TX)
Post Code 782125006
Phone Number 2106975700
Fax Number 2105589032

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21375301 TX --

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FAQs about Modupeola Olajumoke Adedeji

What is the unique 10-digit identifier code issued to Modupeola Olajumoke Adedeji by the Centers for Medicare & Medicaid Services?

The Modupeola Olajumoke Adedeji has been assigned the NPI (National Provider Identifier) 1932186863 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Modupeola Olajumoke Adedeji is physically located?

The Modupeola Olajumoke Adedeji is situated at the following address: 530 San Pedro Ave, San Antonio, TX 782125006.

What is Modupeola Olajumoke Adedeji's specialized field of practice, and what is the corresponding taxonomy classification code?

The Modupeola Olajumoke Adedeji's area of specialization is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this field of practice is 261Qm0801X.

On what date did the Modupeola Olajumoke Adedeji receive its 1932186863 assignment from the Centers for Medicare & Medicaid Services?

The Modupeola Olajumoke Adedeji was assigned its 1932186863 by the Centers for Medicare & Medicaid Services on 2005-12-30.

When was the information regarding Modupeola Olajumoke Adedeji, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Modupeola Olajumoke Adedeji, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-27.

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