GRACE PSYCHIATRIC CLINIC

SAN ANTONIO, TX
NPI1851061071
Entity TypeOrganization
Authorized ContactOLUSEUN ADESOLA AKINTUNLAJI,
President
551-388-6392
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies101YP2500X Counselor, Professional
2084P0800X Psychiatry & Neurology, Psychiatry
251B00000X Case Management
Enumeration Date2021-09-18
Last Update Date2021-09-18
Business Address
GRACE PSYCHIATRIC CLINIC
5282 MEDICAL DR STE 605
SAN ANTONIO, TX 78229-6114
Phone number: 551-388-6392
Mailing Address
GRACE PSYCHIATRIC CLINIC
720 SNOWY ORCHID LN
DESOTO, TX 75115-6691
Phone number: 551-388-6392