Organization · Type 2 NPI
Copper Canyon Academy
Emotionally Disturbed Childrens' Residential Treatment Facility · Lake Montezuma, AZ
Practice location
3095 Coronado Trail
Lake Montezuma, AZ 86335
Mailing address
PO Box 230
Rimrock, AZ 86335-0230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None 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.
4 other providers at this address
About NPI 1275978900
Copper Canyon Academy's National Provider Identifier is 1275978900, issued on May 8, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Lake Montezuma, AZ. The record was last updated on May 16, 2013.