The River Source Treatment Center Casa Grande, Llc | |
16286 S Sunland Gin Rd Arizona City AZ 85123-6196 | |
(888) 687-7332 | |
Not Available |
Full Name | The River Source Treatment Center Casa Grande, Llc |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 16286 S Sunland Gin Rd, Arizona City, Arizona |
Authorized Official Name and Position | Tina Lee (FINANCE DIRECTOR) |
Authorized Official Contact | 5205824718 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The River Source Treatment Center Casa Grande, Llc Po Box 4293 Arizona City AZ 85123-2669 Ph: (888) 687-7332 | The River Source Treatment Center Casa Grande, Llc 16286 S Sunland Gin Rd Arizona City AZ 85123-6196 Ph: (888) 687-7332 |
NPI Number | 1003053570 |
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Provider Enumeration Date | 01/20/2009 |
Last Update Date | 06/14/2023 |
Certification Date | 06/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003053570 | NPI | - | NPPES |
496790 | Other | JOINT COMMISSION | |
IFB6615 | Other | AZ | AZDHS |
OTC9325 | Other | AZ | AZDHS - GILBERT LOCATION |
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