RIO RETREAT CENTER LLC NPI 1821738865

NPI Information

NPI: 1821738865
Provider Name: RIO RETREAT CENTER LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 03D2262153

Address:
1245 JACK BURDEN RD
WICKENBURG, AZ
ZIP 85390
Phone: (602) 256-3020
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RIO RETREAT CENTER LLC is an adult mental health clinic center in Wickenburg, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RIO RETREAT CENTER LLC NPI is 1821738865. The provider is registered as an organization entity type.

The provider's business location address is:

1245 JACK BURDEN RD
WICKENBURG, AZ
ZIP 85390-370
Phone: (602) 256-3020

The provider's authorized official is Tracy Livingston .
The authorized official title is Vp Of Revenue Cycle Management and has the following contact phone number (602) 256-3020.

The CLIA number assigned to this NPI record is 03D2262153 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2022 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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