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.
|Practice Location|| 3095 Coronado Trail, Lake Montezuma, AZ 86335, US |
|Practice Location Phone||928-567-1322|
|Practice Location Fax|
|Legal Business Name||COPPER CANYON ACADEMY|
|Enumeration Date ? ||May 8, 2013|
|Last Update Date ? ||May 16, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Copper Canyon Academy
|Specialty||Provider Type||Specialization||License||License State|
|Residential Treatment Facility, Emotionally Disturbed Children||Residential Treatment Facilities|| |
Legacy Provider IDs of Copper Canyon Academy
|Provider Id||Issuer State||Issuer Type||Issuer|
|LAC-13769||Arizona||Other||AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS|
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/Position||THERAPIST|
|Authorized Official Phone Number||928-567-1322|