Organization · Type 2 NPI

Copper Canyon Academy

Emotionally Disturbed Childrens' Residential Treatment Facility · Rimrock, AZ

NPI number 1205070786 Active

Practice location

3090 Coronado Trail
Rimrock, AZ 86335

Fax (928) 567-1323

Mailing address

PO Box 230
Rimrock, AZ 86335

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1205070786

Copper Canyon Academy's National Provider Identifier is 1205070786, issued on Apr 28, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Rimrock, AZ. The record was last updated on Jan 21, 2014.