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THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
NPI 1568243103
Psychologist - Addiction (Substance Use Disorder) in Arizona City, AZ

Active since October 10, 2023
16286 S. SUNLAND GIN RD, ARIZONA CITY, AZ 85123(480) 298-7301 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 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 1568243103) is a healthcare organization registered as an addiction (substance use disorder) in Arizona City, Arizona and active in the NPI registry since October 2023. The organization lists Tina Lee, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1568243103
Entity TypeOrganization
Primary Taxonomy103TA0400X
Legal Business NameTHE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
Location Address16286 S. SUNLAND GIN RDArizona City, AZ 85123-8512
Mailing AddressPo Box 4293Arizona City, AZ 85123-2669 · (480) 298-7301
Phone(480) 298-7301
Organization SubpartNo
Authorized OfficialTina LeeFinance Director · (520) 582-4718
Enumeration DateOctober 10, 2023
NPPES CertifiedOctober 6, 2023
✔ NPI 1568243103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
16286 S. SUNLAND GIN RD, Arizona City, AZ 85123
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

THE RIVER SOURCE TREATMENT CENTER CASA GRANDE, LLC
Substance Abuse Rehabilitation Facility
16286 S. SUNLAND GIN RD, STE B
ARIZONA CITY, AZ 85123
Pinal County (866) 367-8069

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 1568243103. It was assigned to this organization in the NPPES registry on October 10, 2023.

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, Arizona City, AZ 85123. The listed phone number is (480) 298-7301.

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

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for The River Source Treatment Center Casa Grande, LLC was last updated on October 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.