| NPI | 1487367314 |
|---|---|
| Doing Business As | THE RIVER SOURCE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | TINA LEE Finance Director 520-582-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |