| Doctor Name: | EDWIN M RIOS |
| NPI Number: | 1528353281 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | LISAC-0999 |
| Business Practice Address: | 253 E Thomas Jefferson Way Sahuarita, AZ - 856299042 |
| Business Phone Number: | 5205736753 |
| Business Fax Number: | 5205736753 |
| Mailing Address: | 253 E Thomas Jefferson Way, SAHUARITA |
| State: | AZ |
| Postal Code: | 856299042 |
| Phone Number: | 5205736753 |
| Fax Number: | 5205736753 |
| NPI Enumeration Date: | 06/10/2011 |
| NPI Last Update Date: | 02/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC-0999 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |