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Organization
THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
Active
Organization
THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LEE (FINANCE DIRECTOR)
(520) 582-4718
Entity
Organization
Contact information
Practice address
16286 S. SUNLAND GIN RD, ARIZONA CITY, AZ 85123-8512
(480) 298-7301
Mailing address
PO BOX 4293, ARIZONA CITY, AZ 85123-2669
(480) 298-7301
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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