1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Clinic Center
  6. NPI Profile

THE RIVER SOURCE OUTPATIENT PEORIA
NPI 1295198497
Clinic/Center - Rehabilitation, Substance Use Disorder in Phoenix, AZ

Active since April 04, 2016
2432 W PEORIA AVE, SUITE 1227, PHOENIX, AZ 85029(623) 277-8385 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About THE RIVER SOURCE OUTPATIENT PEORIA

This page provides the complete NPI Profile along with additional information for The River Source Outpatient Peoria, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1295198497 assigned on April 2016. The practitioner's primary taxonomy code is 261QR0405X with license number CSLG7631 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is John Richards (Director Of Account Management)

NPI
1295198497 Verify this NPI
Provider Name
THE RIVER SOURCE OUTPATIENT PEORIA
Entity Type
Organization
Location Address
2432 W PEORIA AVE SUITE 1227 PHOENIX, AZ 85029
Location Phone
(623) 277-8385
Mailing Address
2432 W PEORIA AVE SUITE 1227 PHOENIX, AZ 85029
Mailing Phone
(623) 277-8385
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2016
Last Update Date
04-04-2016
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
CSLG7631
License State
AZ

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN RICHARDS

Authorized Official Title
DIRECTOR OF ACCOUNT MANAGEMENT
Authorized Official Phone
(561) 413-9860

Reviews for THE RIVER SOURCE OUTPATIENT PEORIA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

RMB CONSULTING LLC
Pharmacy (Long Term Care Pharmacy)
2432 W PEORIA AVE, 1005
PHOENIX, AZ 85029
Maricopa County (602) 944-0700
MOUNTAIN VALLEY COUNSELING ASSOCIATES, INC.
Community/Behavioral Health
2432 W PEORIA AVE, SUITE 1343
PHOENIX, AZ 85029
Maricopa County (602) 870-0972
QUALITY TRANSPORT SERVICES OF AZ
Non-emergency Medical Transport (VAN)
2432 W PEORIA AVE, #1340
PHOENIX, AZ 85029
Maricopa County (602) 371-1000
MUINAT ADEPEJU UDOINWANG RN
Home Health
2432 W PEORIA AVE, BUILDING 5 SUITE 1120
PHOENIX, AZ 85029
Maricopa County (602) 246-1115
ANNA KAY LEE
Specialist/Technologist (Audiology Assistant)
2432 W PEORIA AVE
PHOENIX, AZ 85029
Maricopa County (602) 626-8851
SUZETTE BERNALES SLPA
Specialist/Technologist (Speech-Language Assistant)
2432 W PEORIA AVE, SUITE 1044
PHOENIX, AZ 85029
Maricopa County (480) 335-4873
MISS MARISSA ELENA HERNANDEZ
Specialist/Technologist (Speech-Language Assistant)
2432 W PEORIA AVE
PHOENIX, AZ 85029
Maricopa County (602) 626-8851
SUPPORTIVE COMMUNITY SERVICES LLC
Counselor (Mental Health)
2432 W PEORIA AVE
PHOENIX, AZ 85029
Maricopa County (702) 526-4573
JOHN LUTHER BLAYLOCK
Clinic/Center (Mental Health (Including Community Mental Health Center))
2432 W PEORIA AVE
PHOENIX, AZ 85029
Maricopa County (480) 431-5075
FRESH START FAMILY SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2432 W PEORIA AVE
PHOENIX, AZ 85029
Maricopa County (602) 825-1225
PHOENIX TOXICOLOGY & LAB SERVICES
Clinical Medical Laboratory
2432 W PEORIA AVE, SUITE 1064
PHOENIX, AZ 85029
Maricopa County (602) 678-5400
MRS. MARVAH D'AQUINO
Speech-Language Pathologist
2432 W PEORIA AVE, SUITE 1044
PHOENIX, AZ 85029
Maricopa County (602) 626-8851
OHANA HOA, L.L.C.
Speech-Language Pathologist
2432 W PEORIA AVE, SUITE #1323
PHOENIX, AZ 85029
Maricopa County (602) 424-1666

Frequently Asked Questions

What is THE RIVER SOURCE OUTPATIENT PEORIA's NPI number?

The NPI number assigned to this healthcare provider is 1295198497, enumerated as an "organization" on April 04, 2016.

Where is the provider located?

The provider is located at 2432 W PEORIA AVE SUITE 1227 PHOENIX, AZ 85029 and the phone number is (623) 277-8385.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.