THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
NPI 1487367314
Substance Abuse Rehabilitation Facility in Arizona City, AZ

Active since January 05, 2023
16286 S. SUNLAND GIN RD, STE B, ARIZONA CITY, AZ 85123(866) 367-8069(520) 413-5944 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The River Source Treatment Center Casa Grande, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC (NPI 1487367314), doing business as The River Source Treatment Center, is a healthcare organization registered as a substance abuse rehabilitation facility in Arizona City, Arizona and active in the NPI registry since January 2023. The organization lists Tina Lee, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1487367314
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTHE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
Location Address16286 S. SUNLAND GIN RD, STE BArizona City, AZ 85123-8512
Mailing AddressPo Box 4293Arizona City, AZ 85123-2669 · (480) 298-7301 · Fax (520) 413-5944
Fax(520) 413-5944
Organization SubpartNo
Authorized OfficialTina LeeFinance Director · (520) 582-4718
Enumeration DateJanuary 5, 2023
NPPES CertifiedDecember 9, 2022
NPI 1487367314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
16286 S. SUNLAND GIN RD, Arizona City, AZ 85123

Other Names 1

Doing Business AsThe River Source Treatment Center

Other Identifiers 1

Medicaid544985AZ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Addiction (Substance Use Disorder))
16286 S. SUNLAND GIN RD
ARIZONA CITY, AZ 85123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The River Source Treatment Center Casa Grande, LLC's NPI number?

The NPI number for The River Source Treatment Center Casa Grande, LLC is 1487367314. It was assigned to this organization in the NPPES registry on January 5, 2023. The provider is doing business as The River Source Treatment Center.

Where is The River Source Treatment Center Casa Grande, LLC located?

The River Source Treatment Center Casa Grande, LLC is located at 16286 S. Sunland Gin Rd Ste B, Arizona City, AZ 85123. The listed phone number is (866) 367-8069.

What is The River Source Treatment Center Casa Grande, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for The River Source Treatment Center Casa Grande, LLC was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.