Organization · Type 2 NPI

The River Source

Substance Abuse Rehabilitation Facility · Casa Grande, AZ

NPI number 1497167480 Active

Practice location

950 N Arizola Rd Ste 3
Casa Grande, AZ 85122-6196

Call (520) 836-2205 Map

Fax (520) 836-1882

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X13-1381 (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.

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About NPI 1497167480

The River Source's National Provider Identifier is 1497167480, issued on May 24, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Casa Grande, AZ. The record was last updated on May 24, 2014.