NPI 1194569855

Bradford River Bend, LLC

Organisation Substance Use Disorder Rehabilitation Clinic/Center Gautier, MS

Practice location

Address: 330 Highway 90, Gautier, MS 39553-5705
Phone: (601) 791-5135
Mailing address: 1 Perimeter Park S STE 200, Birmingham, AL 35243-2327

Authorised official

Name: Mark Edwards
Title: Cfo
Phone: (205) 244-8112

Registered specialties (2)

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Mississippi →

Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Mississippi →

Registry record

NPI: 1194569855
Entity type: Organization
NPI issued: 19 Jun 2024
Record last updated: 23 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.