The River Source Treatment Center Casa Grande, Llc
LBN: The River Source Treatment Center Casa Grande, Llc
The River Source Treatment Center Casa Grande, Llc is an health care organization with primary practice located at 16286 S. Sunland Gin Rd Ste B, Arizona City AZ 85123-8512. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty.
The River Source Treatment Center Casa Grande, Llc can be contacted via phone (866) 367-8069, or through Lee, Tina via phone (520) 582-4718.
Contact Information
Primary practice address
16286 S. Sunland Gin Rd Ste B
Arizona City AZ 85123-8512
Phone: (866) 367-8069
Fax: (520) 413-5944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1487367314 |
|---|---|
| LBN Legal business name | The River Source Treatment Center Casa Grande, Llc |
| DBA Doing business as | |
| Authorized official | Lee, Tina |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2023 |
| Last updated | Jan 5th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487367314 | NPPES |
| Arizona | MEDICAID | 544985 |
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