location
search-icon
institution
Copper Canyon Academy
Emotionally Disturbed Childrens' Residential Treatment Facility in Lake Montezuma, Arizona
NPI 1275978900

Copper Canyon Academy is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Rimrock, AZ. Copper Canyon Academy practices in Lake Montezuma, AZ. The NPI Number for Copper Canyon Academy is 1275978900 and holds a License No. (Arizona).

The current practice location address for Copper Canyon Academy is 3095 Coronado Trail, Lake Montezuma, AZ and can be reached out via phone at 928-567-1322.

Location: 3095 Coronado Trail, Lake Montezuma, AZ, 86335-0230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275978900
Provider Name
Copper Canyon Academy
Credential
Provider Entity Type
Organization
Address
3095 Coronado Trail, Lake Montezuma, AZ, 86335-0230
Phone Number
928-567-1322
Fax Number
Provider Enumeration Date
05/08/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
LAC-13769 01 AZ AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS
institution
Provider Business Practice Location Address Details
Address
3095 Coronado Trail
City
Lake Montezuma
State
Arizona
Zip
86335
Phone Number
928-567-1322
Fax Number
person
Provider Business Mailing Address Details
Address
3095 Coronado Trail
City
Lake Montezuma
State
Arizona
Zip
86335
Phone Number
928-567-1322
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.