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 , Arizona City AZ 85123-6196. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. The River Source Treatment Center Casa Grande, Llc can be contacted via phone (888) 687-7332, or through Lee, Tina via phone (520) 582-4718.

Contact Information

Primary practice address
16286 S Sunland Gin Rd Arizona City AZ 85123-6196
Phone: (888) 687-7332
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Tina
Phone: (520) 582-4718

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Arizona

Profile Details

NPI number 1003053570
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 20th, 2009
Last updated Jun 14th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003053570 NPPES
Other 496790 JOINT COMMISSION
Other IFB6615 JOINT COMMISSION
Other OTC9325 JOINT COMMISSION

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