Organization
NIBBUS COMBINED CARE LLC DBA NEW WAVE RTH
Active
Organization
NIBBUS COMBINED CARE LLC DBA NEW WAVE RTH
Active
Parent organization
NIBBUS COMBINED CARE LLC
Other names
New Wave RTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIBBUS COMBINED CARE LLC
Authorized official
BRENDA LOREAN WATSON (EXECUTIVE DIRECTOR)
(541) 254-0630
Entity
Organization
Contact information
Practice address
2240 TERREL DR, MEDFORD, OR 97501-8140
(458) 226-5347
Mailing address
1175 E MAIN ST STE 2F, MEDFORD, OR 97504-7457
(458) 225-9993
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
04/02/2026
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