Riverside Mental And Medical Clinic

LBN: Benjamin A. Adewale Md Pc
Riverside Mental And Medical Clinic is an health care organization with primary practice located at 25 S Quaker Ln Suite 4, Alexandria VA 22314-4585. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Benjamin A. Adewale Md Pc can be contacted via phone (571) 257-4398, or through Adewale, Benjamin via phone (703) 569-8028.

Contact Information

Primary practice address
25 S Quaker Ln Suite 4 Alexandria VA 22314-4585
Phone: (571) 257-4398
Fax: (703) 823-4407
Website:
Map and Directions
Authorized official contact:
Name: Adewale, Benjamin Doctor of Medicine (MD)
Phone: (703) 569-8028

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MD22004 District of Columbia

Profile Details

NPI number 1992073084
LBN Legal business name Benjamin A. Adewale Md Pc
DBA Doing business as Riverside Mental And Medical Clinic
Authorized official Adewale, Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2011
Last updated Jul 30th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992073084 NPPES
District of Columbia MEDICAID 031768500

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