NPI 1972849149

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
Mailing address: 3095 Coronado Trail, Rimrock, AZ 86335

Authorised official

Name: Michael Gurr
Title: Program Director
Phone: (928) 567-1322

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence LPC12646 (AZ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Arizona →

Registry record

NPI: 1972849149
Entity type: Organization
NPI issued: 17 Dec 2012
Record last updated: 17 Dec 2012

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.