Copper Canyon Academy

NPI #1972849149 in Rimrock, Arizona

Provider Information

NPI Number: 1972849149
Entity Type: Organization
Organization Name: Copper Canyon Academy
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Dec 17, 2012
Last Updated: Dec 17, 2012

Practice Location

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

Authorized Official

Name: MICHAEL GURR
Title: PROGRAM DIRECTOR
Phone: (928) 567-1322

Specialties & Taxonomy Codes

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

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