THE RIVER SOURCE


Address: 108 E 2nd Ave, Mesa, AZ 85210-1410
Phone: 8886877332

THE RIVER SOURCE (NPI# 1336454867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336454867
Entity Type Organization
Organization Name THE RIVER SOURCE
Practice Address 108 E 2nd Ave
Mesa
AZ 85210-1410
Practice Telephone 8886877332
Practice Fax Number 4808271637
Mailing Telephone 8886877332
Mailing Fax Number 4808271637
Enumeration Date 2010-08-09
Last Update Date 2017-01-18
Authorized Official Name PHILLIP WESTBROOKS (PRESIDENT AND CEO)
Authorized Official Telephone 4802063999
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility BH-3428 AZ Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497167480 The River Source Substance Abuse Rehabilitation Facility 950 N Arizola Rd Ste 3, Casa Grande, AZ 85122-6196 2014-05-24

Office Location

Street Address 108 E 2ND AVE
City MESA
State AZ
Zip Code 85210-1410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376729509 Sara Care Inc Assisted Living Facility 108 E 2nd Ave, Mesa, AZ 85210-1410 2008-01-17
1255940649 Empact - Suicide Prevention Center Community Based Residential Treatment Facility, Mental Illness 108 E 2nd Ave, Mesa, AZ 85210-1410 2020-07-30
1316505753 Light House Group Home LLC Substance Abuse Rehabilitation Facility 108 E 2nd Ave, Mesa, AZ 85210-1410 2019-05-31
1467680165 Cho Long Elizabeth Kim Internal Medicine 108 E 2nd Ave, Mesa, AZ 85210-1410 2009-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497382501 Mesa Center for Family Medicine Internal Medicine 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 2020-03-26
1780177121 Jessica Cannata Speech-Language Pathologist 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 2018-06-11
1831680305 Alexandra Katherine Ebong Nurse Practitioner 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 2018-05-21
1548762719 Russell D. Meldrum, M.d. Pllc Orthopaedic Surgery 855 W. Southern Ave., #1114, Mesa, AZ 85210 2018-03-05
1023510435 Denise M Bruno-krupp Counselor 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 2018-03-01
1609374529 Gene R Lullo Social Worker 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 2018-01-25
1295264000 Ashley P Smith Naturopath 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 2017-06-06
1386184059 Brittany Johnson Counselor 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 2017-03-01
1487190880 Mesa Valley Modern Dentistry, LLP Dentist 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 2017-01-10
1821544529 Sandra Coren Licensed Practical Nurse 32 S Mcdonald, Tlc, Mesa, AZ 85210 2016-09-01
Find all providers in zip 85210

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy 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.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073179883 Dara II Inc Substance Abuse Rehabilitation Facility 4645 E Ellis Cir, Mesa, AZ 85205-5238 2019-05-16
1417458753 Reboot Detox Az LLC Substance Abuse Rehabilitation Facility 1132 S Oakland, Mesa, AZ 85206-2682 2018-02-22
1326491283 Soba Mesa LLC Substance Abuse Rehabilitation Facility 6215 E Arbor Ave, Mesa, AZ 85206-6064 2016-07-15
1841649258 Big Sky Recovery LLC Substance Abuse Rehabilitation Facility 2360 N Robin Ln, Mesa, AZ 85213-2474 2016-06-07
1104209352 Recovery Homes, Inc Substance Abuse Rehabilitation Facility 141 South Center Street, Suite B, Mesa, AZ 85210 2015-07-07
1710369483 Recovery Homes, Inc Substance Abuse Rehabilitation Facility 143 S Center St, Suite A, Mesa, AZ 85210-1307 2015-06-18
1306243084 Residents At The Heights LLC Substance Abuse Rehabilitation Facility 215 S Power Rd Ste 1251, Mesa, AZ 85206-5238 2014-11-25
1538599469 The River Source Iop LLC Substance Abuse Rehabilitation Facility 128 W Pepper Pl, Mesa, AZ 85201-7317 2013-11-13
1578807145 Recovery Help, LLC. Substance Abuse Rehabilitation Facility 3945 E Broadway Rd, Mesa, AZ 85206-1030 2012-11-20
1497833644 Anasazi Foundation Substance Abuse Rehabilitation Facility 1424 S Stapley Dr, Mesa, AZ 85204-5877 2006-11-02
Find all providers in MESA

Competitor

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City MESA
Zip Code 85210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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