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Organization

THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA VALENCIA (BILLING AND CLAIMS MANAGER)
(480) 298-7301
Entity
Organization

Contact information

Practice address
7910 W THOMAS RD STE 103, PHOENIX, AZ 85033-4837
(480) 298-7301
(520) 413-5944
Mailing address
PO BOX 4293, ARIZONA CITY, AZ 85123-2669
(480) 298-7301

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary

Other

Enumeration date
04/13/2023
Last updated
04/13/2023
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