NPI 1205070786

Copper Canyon Academy

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Rimrock, AZ

Practice location

Address: 3090 Coronado Trail, Rimrock, AZ 86335
Phone: (928) 567-1322
Fax: (928) 567-1323
Mailing address: PO Box 230, Rimrock, AZ 86335

Authorised official

Name: Tracy Edwards
Title: Executive Director
Phone: (928) 567-1322

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1205070786
Entity type: Organization
NPI issued: 28 Apr 2009
Record last updated: 21 Jan 2014

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.