RIO RETREAT CENTER LLC
NPI 1821738865
Clinic/Center - Adult Mental Health in Wickenburg, AZ
- Organization
- Clinic/Center
- Adult Mental Health
- CLIA Number: 03D2262153
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 06-08-2028
About RIO RETREAT CENTER LLC
This page provides the complete NPI Profile along with additional information for Rio Retreat Center Llc, a provider established in Wickenburg, Arizona operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1821738865 assigned on March 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ms. Tracy Livingston (Vp Of Revenue Cycle Management)
- NPI
- 1821738865 Verify this NPI
- Provider Name
- RIO RETREAT CENTER LLC
- Entity Type
- Organization
- Location Address
- 1245 JACK BURDEN RD WICKENBURG, AZ 85390
- Location Phone
- (602) 256-3020
- Mailing Address
- 19820 N 7TH ST STE 205 PHOENIX, AZ 85024
- Mailing Phone
- (602) 256-3020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-29-2022
- Last Update Date
- 02-19-2024
- 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 Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2262153
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- June 09, 2026
- Certificate Expiration Date
- June 08, 2028
- Laboratory Director
- GEORGIA FOURLAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rio Retreat Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
WICKENBURG, AZ 85390
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821738865, enumerated as an "organization" on March 29, 2022.
The provider is located at 1245 JACK BURDEN RD WICKENBURG, AZ 85390 and the phone number is (602) 256-3020.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
