THE RIVER SOURCE NPI 1336454867

NPI Information

THE RIVER SOURCE is a substance abuse rehabilitation facility in Mesa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. THE RIVER SOURCE NPI is 1336454867. The provider is registered as an organization entity type.

The provider's business location address is:

108 E 2ND AVE
MESA, AZ
ZIP 85210-410
Phone: (888) 687-7332
Fax: (480) 827-1637

The provider's authorized official is Phillip Westbrooks .
The authorized official title is President And Ceo and has the following contact phone number (480) 206-3999.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 1/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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