Canyon State Academy

LBN: Rite Of Passage, Inc.
Canyon State Academy is an health care organization with primary practice located at 20061 E Rittenhouse Rd , Queen Creek AZ 85142-9715. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Rite Of Passage, Inc. can be contacted via phone (480) 987-2047, or through Alexander, Rusty E. via phone (775) 392-2639.

Contact Information

Primary practice address
20061 E Rittenhouse Rd Queen Creek AZ 85142-9715
Phone: (480) 987-2047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Rusty E.
Phone: (775) 392-2639

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X CSLG6685 Arizona
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1346766953
LBN Legal business name Rite Of Passage, Inc.
DBA Doing business as Canyon State Academy
Authorized official Alexander, Rusty E.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 15th, 2017
Last updated Mar 15th, 2024 - about 8 months 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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