Organization
BERRIEN MENTAL HEALTH AUTHORITY
Active
Other names
Riverwood Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN R EDLEFSON (CEO)
(269) 925-0585
Entity
Organization
Contact information
Practice address
115 S SAINT JOSEPH AVE, NILES, MI 49120-2848
(269) 684-4270
(269) 684-4070
Mailing address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
(269) 934-1610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910730
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/23/2008
Last updated
06/23/2008
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