| NPI | 1821015264 |
|---|---|
| Doing Business As | RIVERSIDE MENTAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ADYSON ADENWALE Medical Director Md 703-569-8028 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA (Licence: VA 0101054165) |
| 363L00000X Nurse Practitioner | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-01-17 |