Organization · Type 2 NPI

The River Source

Substance Abuse Rehabilitation Facility · Mesa, AZ

NPI number 1336454867 Active

Practice location

108 E 2nd Ave
Mesa, AZ 85210-1410

Call (888) 687-7332 Map

Fax (480) 827-1637

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XBH-3428 (AZ)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

3 other providers at this address

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About NPI 1336454867

The River Source's National Provider Identifier is 1336454867, issued on Aug 9, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mesa, AZ. The record was last updated on Jan 18, 2017.