Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1194569855 |
| LBN Legal business name | BRADFORD RIVER BEND, LLC |
| Authorized official | MARK EDWARDS - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/19/2024 |
| Last updated | 02/23/2026 - About 3 months ago |
| Identifiers | n/a |
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