Organization
RIO RETREAT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY LIVINGSTON (VP OF REVENUE CYCLE MANAGEMENT)
(602) 256-3020
Entity
Organization
Contact information
Practice address
1245 JACK BURDEN RD, WICKENBURG, AZ 85390-3370
(602) 256-3020
Mailing address
19820 N 7TH ST STE 205, PHOENIX, AZ 85024-1694
(602) 256-3020
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/29/2022
Last updated
02/19/2024
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