The River Source
NPI #1497167480 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1497167480
- Entity Type
- Organization
- Organization Name
- The River Source
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 24, 2014
- Last Updated
- May 24, 2014
Practice Location
- Address
- 950 N ARIZOLA RD STE 3
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-6196
- Phone
- (520) 836-2205
Authorized Official
- Name
- DARYL FERRELL
- Title
- EXECUTIVE DIRECTOR
- Phone
- (520) 836-2205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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