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The River Source Treatment Center Casa Grande, Llc
Substance Abuse Rehabilitation Facility in Arizona City, Arizona
NPI 1003053570

The River Source Treatment Center Casa Grande, Llc is a Substance Abuse Rehabilitation Facility based in Arizona City, AZ. The River Source Treatment Center Casa Grande, Llc practices in Arizona City, AZ. The NPI Number for The River Source Treatment Center Casa Grande, Llc is 1003053570 and holds a License No. (Arizona).

The current practice location address for The River Source Treatment Center Casa Grande, Llc is 16286 S Sunland Gin Rd, Arizona City, AZ and can be reached out via phone at 888-687-7332.

Location: 16286 S Sunland Gin Rd, Arizona City, AZ, 85123-2669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003053570
Provider Name
The River Source Treatment Center Casa Grande, Llc
Credential
Provider Entity Type
Organization
Address
16286 S Sunland Gin Rd, Arizona City, AZ, 85123-2669
Phone Number
888-687-7332
Fax Number
Provider Enumeration Date
01/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
496790 01 JOINT COMMISSION
IFB6615 01 AZ AZDHS
OTC9325 01 AZ AZDHS - GILBERT LOCATION
institution
Provider Business Practice Location Address Details
Address
16286 S Sunland Gin Rd
City
Arizona City
State
Arizona
Zip
85123-6196
Phone Number
888-687-7332
Fax Number
person
Provider Business Mailing Address Details
Address
16286 S Sunland Gin Rd
City
Arizona City
State
Arizona
Zip
85123-6196
Phone Number
888-687-7332
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Arizona)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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.
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