Modupeola Adedeji

NPI #1336137678 in San Antonio, Texas

Provider Information

NPI Number: 1336137678
Entity Type: Organization
Organization Name: Modupeola Adedeji
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 11, 2005
Last Updated: Jul 7, 2008

Practice Location

Address: 530 SAN PEDRO AVE
City: San Antonio
State: Texas
ZIP Code: 78212-5006
Phone: (210) 697-5700

Authorized Official

Name: MR. ADEDIRAN ADEDEJI
Title: CEO
Phone: (210) 697-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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