Organization
RIVERDALE BEHAVIORAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLAYINKA OLANIYI AKINWUMIJU M.D. (PSYCHITRIST)
(901) 385-2342
Entity
Organization
Contact information
Practice address
8135 GOODMAN RD, OLIVE BRANCH, MS 38654-2103
(662) 893-7102
Mailing address
4700 WHITE PASS DR, COLLIERVILLE, TN 38017-3462
(901) 385-2342
(901) 382-0140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16950
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06729219
—
MS
05
—
07686515
—
MS
Enumeration date
04/16/2008
Last updated
07/27/2010
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