Organization
GRACELAND PSYCHIATRIC AND NEUROMODULATION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEMI POPOOLA (MEDICAL DIRECTOR)
(210) 868-5801
Entity
Organization
Contact information
Practice address
2411 NE LOOP 410 STE 114, SAN ANTONIO, TX 78217-6600
(210) 868-5801
(726) 201-1558
Mailing address
2411 NE LOOP 410 STE 114, SAN ANTONIO, TX 78217-6600
(210) 868-5801
(726) 201-1558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/15/2021
Last updated
01/14/2026
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