Organization · Type 2 NPI
Bradford River Bend, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Gautier, MS
NPI number
1194569855
Active
Practice location
330 Highway 90
Gautier, MS 39553-5705
Mailing address
1 Perimeter Park S Ste 200
Birmingham, AL 35243-2327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1194569855
Bradford River Bend, LLC's National Provider Identifier is 1194569855, issued on Jun 19, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Gautier, MS. The record was last updated on Feb 23, 2026.