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Copper Canyon Academy

Copper Canyon Academy is a health care provider in Rimrock, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 3095 Coronado Trail, Lake Montezuma, AZ 86335, US
Practice Location Phone928-567-1322
Practice Location Fax
Legal Business NameCOPPER CANYON ACADEMY
NPI ?1275978900
Entity TypeOrganization
Enumeration Date ? May 8, 2013
Last Update Date ? May 16, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Copper Canyon Academy

SpecialtySpecializationLicenseLicense State
Residential Treatment Facility, Emotionally Disturbed Children

legacy-id-icon Legacy Provider IDs of Copper Canyon Academy

Provider IdIssuer StateIssuer TypeIssuer
LAC-13769ArizonaOtherAZ BOARD OF BEHAVIORAL HEALTH EXAMINERS

official-icon Authorized Official of Copper Canyon Academy

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Copper Canyon Academy's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ariella Allaman (MA, LAC)
Authorized Official Title/PositionTHERAPIST
Authorized Official Phone Number928-567-1322