NPI 1184206369
Copper Cactus Behavioral Health Lc
Practice location
- Address
- 4715 W Maldonado Rd, Laveen, AZ 85339-8214
- Phone
- (480) 930-3646
- Mailing address
- 8437 S 50th Dr, Laveen, AZ 85339-2165
Authorised official
- Name
- Kyona Jessell Relf
- Title
- Owner
- Phone
- (480) 930-3646
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1184206369
- Entity type
- Organization
- NPI issued
- 27 Apr 2021
- Record last updated
- 27 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.