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The River Source Iop
Substance Abuse Rehabilitation Facility in Mesa, Arizona
NPI 1700262490

The River Source Iop is a Substance Abuse Rehabilitation Facility based in Mesa, AZ. The River Source Iop practices in Mesa, AZ. The NPI Number for The River Source Iop is 1700262490 and holds a License No. (Arizona).

The current practice location address for The River Source Iop is 128 W Pepper Pl, Mesa, AZ and can be reached out via phone at 480-241-0170 and via fax at 480-610-3823.

Location: 128 W Pepper Pl, Mesa, AZ, 85201-7317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700262490
Provider Name
The River Source Iop
Credential
Provider Entity Type
Organization
Address
128 W Pepper Pl, Mesa, AZ, 85201-7317
Phone Number
480-241-0170
Fax Number
480-610-3823
Provider Enumeration Date
08/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 W Pepper Pl
City
Mesa
State
Arizona
Zip
85201-7317
Phone Number
480-241-0170
Fax Number
480-610-3823
person
Provider Business Mailing Address Details
Address
128 W Pepper Pl
City
Mesa
State
Arizona
Zip
85201-7317
Phone Number
480-241-0170
Fax Number
480-610-3823
person
Provider's Taxonomy Details 1
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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