| Riverdale Behavioral Health, Pc | |
|
8135 Goodman Rd Olive Branch MS 38654-2103 | |
| (662) 893-7102 | |
| Not Available |
| Full Name | Riverdale Behavioral Health, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8135 Goodman Rd, Olive Branch, Mississippi |
| Authorized Official Name and Position | Olayinka Olaniyi Akinwumiju (PSYCHITRIST) |
| Authorized Official Contact | 9013852342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverdale Behavioral Health, Pc 4700 White Pass Dr Collierville TN 38017-3462 Ph: (901) 385-2342 | Riverdale Behavioral Health, Pc 8135 Goodman Rd Olive Branch MS 38654-2103 Ph: (662) 893-7102 |
| NPI Number | 1912171489 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 07/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912171489 | NPI | - | NPPES |
| 07686515 | Medicaid | MS | |
| 06729219 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16950 (Mississippi) | Primary |
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