Organization
GRACE ROOTED KIDS MENTAL HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTITODILICHUKWU M OMELUDIKE APRN, PMHNP (PROVIDER)
(210) 222-9512
Entity
Organization
Contact information
Practice address
4241 WOODCOCK DR STE C232, SAN ANTONIO, TX 78228-1328
(210) 222-9512
Mailing address
4241 WOODCOCK DR STE C232, SAN ANTONIO, TX 78228-1328
(210) 222-9512
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us