NPI 1487367314
The River Source Treatment Center Casa Grande, LLC
Practice location
- Address
- 16286 S. Sunland Gin Rd STE B, Arizona City, AZ 85123-8512
- Phone
- (866) 367-8069
- Fax
- (520) 413-5944
- Mailing address
- PO Box 4293, Arizona City, AZ 85123-2669
Authorised official
- Name
- Tina Lee
- Title
- Finance Director
- Phone
- (520) 582-4718
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1487367314
- Entity type
- Organization
- NPI issued
- 5 Jan 2023
- Record last updated
- 5 Jan 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.