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1700365087
RIVERS EDGE BEHAVIORAL HEALTH LLC
COOS BAY, OR
NPI
1700365087
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Entity Type
Organization
Authorized Contact
ROBERT WILLIAM GERBER
Owner
541-269-5333
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2018-08-08
Last Update Date
2020-04-17
Business Address
RIVERS EDGE BEHAVIORAL HEALTH LLC
2690 N 17TH ST
COOS BAY, OR 97420
Phone number: 541-269-5333
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Mailing Address
RIVERS EDGE BEHAVIORAL HEALTH LLC
2690 N 17TH ST
COOS BAY, OR 97420-2134
Phone number: 541-269-5333
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