Copper Canyon Academy

NPI #1205070786 in Rimrock, Arizona

Provider Information

NPI Number: 1205070786
Entity Type: Organization
Organization Name: Copper Canyon Academy
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Apr 28, 2009
Last Updated: Jan 21, 2014

Practice Location

Address: 3090 CORONADO TRAIL
City: Rimrock
State: Arizona
ZIP Code: 86335
Phone: (928) 567-1322

Authorized Official

Name: TRACY EDWARDS
Title: EXECUTIVE DIRECTOR
Phone: (928) 567-1322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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