The River Source Outpatient Peoria
The River Source Outpatient Peoria provides Substance Use Disorder Rehabilitation Clinic/Center services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.
- Licensed in
- AZ
- In the registry since
- 2016
Practice location Address checks out
2432 W Peoria Ave Ste 1227Phoenix, AZ 85029-4726 Not confirmed with CMS for 10 years — call before visiting
Phone: (623) 277-8385
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence CSLG7631 (AZ) |
|---|
Record details
| NPI number | 1295198497 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Richards — Director Of Account Management · (561) 413-9860 |
| NPI enumerated | April 4, 2016 |
| Last updated in NPPES | April 4, 2016 |
| Mailing address | 2432 W Peoria Ave, Suite 1227, Phoenix, AZ 85029-4737 |
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