Organization · Type 2 NPI

Copper Canyon Academy

Emotionally Disturbed Childrens' Residential Treatment Facility · Rimrock, AZ

NPI number 1972849149 Active

Practice location

3090 Coronado Trail
Rimrock, AZ 86335

Mailing address

3095 Coronado Trail
Rimrock, AZ 86335

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XLPC12646 (AZ)

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 1972849149

Copper Canyon Academy's National Provider Identifier is 1972849149, issued on Dec 17, 2012. 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 Dec 17, 2012.