The River Source Treatment Center Casa Grande, LLC
NPI #1568243103 in Arizona City, Arizona
Provider Information
- NPI Number
- 1568243103
- Entity Type
- Organization
- Organization Name
- The River Source Treatment Center Casa Grande, LLC
- Primary Specialty
- Psychologist - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 10, 2023
- Last Updated
- Oct 10, 2023
Practice Location
- Address
- 16286 S. SUNLAND GIN RD
- City
- Arizona City
- State
- Arizona
- ZIP Code
- 85123-8512
- Phone
- (480) 298-7301
Authorized Official
- Name
- TINA LEE
- Title
- FINANCE DIRECTOR
- Phone
- (520) 582-4718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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