| Riverwood Center | |
|
115 S Saint Joseph Ave Niles MI 49120-2848 | |
| (269) 684-4270 | |
| (269) 684-4070 |
| Full Name | Riverwood Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115 S Saint Joseph Ave, Niles, Michigan |
| Authorized Official Name and Position | Allen R Edlefson (CEO) |
| Authorized Official Contact | 2699250585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverwood Center 1485 M 139 Benton Harbor MI 49022-5711 Ph: (269) 925-0585 | Riverwood Center 115 S Saint Joseph Ave Niles MI 49120-2848 Ph: (269) 684-4270 |
| NPI Number | 1235390246 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235390246 | NPI | - | NPPES |
| 750910730 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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