| NPI | 1992073084 |
|---|---|
| Doing Business As | RIVERSIDE MENTAL AND MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ADEWALE CEO 703-569-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC MD22004) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2013-07-30 |