THE RIVER SOURCE NPI 1497167480

NPI Information

THE RIVER SOURCE is a substance abuse rehabilitation facility in Casa Grande, 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 1497167480. The provider is registered as an organization entity type.

The provider's business location address is:

950 N ARIZOLA RD STE 3
CASA GRANDE, AZ
ZIP 85122-196
Phone: (520) 836-2205
Fax: (520) 836-1882

The provider's authorized official is Daryl Ferrell .
The authorized official title is Executive Director and has the following contact phone number (520) 836-2205.

The enumeration date for this NPI number is 5/24/2014 and was last updated on 5/24/2014.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.