Copper Canyon Academy

LBN: Copper Canyon Academy
Copper Canyon Academy is an health care organization with primary practice located at 3095 Coronado Trail , Lake Montezuma AZ 86335. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Copper Canyon Academy can be contacted via phone (928) 567-1322, or through Allaman, Ariella via phone (928) 567-1322.

Contact Information

Primary practice address
3095 Coronado Trail Lake Montezuma AZ 86335
Phone: (928) 567-1322
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allaman, Ariella MA, LAC
Phone: (928) 567-1322

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1275978900
LBN Legal business name Copper Canyon Academy
DBA Doing business as
Authorized official Allaman, Ariella MA, LAC
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2013
Last updated May 16th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275978900 NPPES
Arizona Other LAC-13769 AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS

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