NPI 1003053570
The River Source Treatment Center Casa Grande, LLC
Practice location
- Address
- 16286 S Sunland Gin Rd, Arizona City, AZ 85123-6196
- Phone
- (888) 687-7332
- Mailing address
- PO Box 4293, Arizona City, AZ 85123-2669
Authorised official
- Name
- Tina Lee
- Title
- Finance Director
- Phone
- (520) 582-4718
Registered specialties (3)
Substance Abuse Rehabilitation Facility
Primary
Community/Behavioral Health Agency
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1003053570
- Entity type
- Organization
- NPI issued
- 20 Jan 2009
- Record last updated
- 14 Jun 2023
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.