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Contact Information

THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
7910 W THOMAS RD STE 103
PHOENIX, AZ85033-4837
 Phone: 480-298-7301
 Fax: 520-413-5944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for THE RIVER SOURCE TREATMENT CENTER CASA GRANDE LLC · (Female)

NPI # 1447946330
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2023
Last updated 04/13/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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