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Organization

BRADFORD RIVER BEND, LLC

Active
Other names
The Estate at River Bend
Organization subpart
No

Provider details

NPI number
Authorized official
MARK EDWARDS (CFO)
(205) 244-8112
Entity
Organization

Contact information

Practice address
330 HIGHWAY 90, GAUTIER, MS 39553-5705
(601) 791-5135
Mailing address
1 PERIMETER PARK S STE 200, BIRMINGHAM, AL 35243-2327
(205) 251-7753

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
06/19/2024
Last updated
02/23/2026
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