Organization
NORTHRIDGE BEHAVIORAL HEALTH PLLC
Active
Other names
Northridge Behavioral Health PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA C AJUFO MD (OWNER/MD)
(440) 681-0575
Entity
Organization
Contact information
Practice address
2829 BABCOCK RD STE 126, SAN ANTONIO, TX 78229-6009
(440) 681-0575
Mailing address
2829 BABCOCK RD STE 126, SAN ANTONIO, TX 78229-6009
(440) 681-0575
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3856486-01
—
TX
Enumeration date
03/07/2019
Last updated
04/30/2019
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