The River Source Treatment Center Casa Grande, LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC

Practice address

7910 W Thomas Rd Ste 103
Phoenix, AZ 85033-4837

Phone

(480) 298-7301

Fax

(520) 413-5944

NPI assigned

Apr 13, 2023

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina Valencia

Title

Billing and Claims Manager

Phone

(480) 298-7301

Specialties & licenses 1

Addresses

Tax ID family

The River Source Treatment Center Casa Grande LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The River Source Treatment Center Casa Grande, LLC

  • Substance Abuse Rehabilitation Facility
  • Arizona City, AZ
  • NPI 1003053570
  NPD tax ID
• The River Source Treatment Center Casa Grande, LLC

  dba The River Source Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Arizona City, AZ
  • NPI 1487367314
  NPD tax ID
• The River Source Treatment Center Casa Grande, LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Arizona City, AZ
  • NPI 1568243103
  NPD tax ID
• The River Source Treatment Center Casa Grande, LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Gilbert, AZ
  • NPI 1851004220
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1447946330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4293",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "851232669",
            "telephone_number": "480-298-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W THOMAS RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850334837",
            "telephone_number": "480-298-7301",
            "fax_number": "520-413-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BILLING AND CLAIMS MANAGER",
        "authorized_official_telephone_number": "480-298-7301"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Resolution Group, Inc.
• The River Source Outpatient Peoria
• The Rosemary Tree, LLC
• The Sacred Wild, LLC (Sacred Wild Midwifery)
• The Safe and Secure Community Health Center LLC
• The Smyl Co
• The Source Naturopathic Medical Clinic

• Addiction Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.