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The River Source
Substance Abuse Rehabilitation Facility in Mesa, Arizona
NPI 1336454867

The River Source is a Substance Abuse Rehabilitation Facility based in Mesa, AZ. The River Source practices in Mesa, AZ. The NPI Number for The River Source is 1336454867 and holds a License No. BH-3428 (Arizona).

The current practice location address for The River Source is 108 E 2Nd Ave, Mesa, AZ and can be reached out via phone at 888-687-7332 and via fax at 480-827-1637.

Location: 108 E 2Nd Ave, Mesa, AZ, 85210-1410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336454867
Provider Name
The River Source
Credential
Provider Entity Type
Organization
Address
108 E 2Nd Ave, Mesa, AZ, 85210-1410
Phone Number
888-687-7332
Fax Number
480-827-1637
Provider Enumeration Date
08/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 E 2Nd Ave
City
Mesa
State
Arizona
Zip
85210-1410
Phone Number
888-687-7332
Fax Number
480-827-1637
person
Provider Business Mailing Address Details
Address
108 E 2Nd Ave
City
Mesa
State
Arizona
Zip
85210-1410
Phone Number
888-687-7332
Fax Number
480-827-1637
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
BH-3428 (Arizona)
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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