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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

NPI Number 1447946330
LBN Legal business name THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
Authorized official CHRISTINA VALENCIA - (BILLING AND CLAIMS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2023
Last updated 04/13/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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