COPPER CANYON ACADEMY – NPI #1205070786
Residential Treatment Facility, Emotionally Disturbed Children

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.

COPPER CANYON ACADEMY is a residential treatment facility located in RIMROCK, AZ. NPPES has assigned the NPI number 1205070786 to COPPER CANYON ACADEMY on April 28, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 12 years ago on Jan 21, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COPPER CANYON ACADEMY below.

NPI Profile for
COPPER CANYON ACADEMY

NPI Number
1205070786
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COPPER CANYON ACADEMY
Primary location
3090 CORONADO TRAIL
RIMROCK, AZ 86335
Phone: (928) 567-1322 Fax: (928) 567-1323
Mailing address
PO BOX 230
RIMROCK, AZ 86335
Phone: (928) 567-1322 Fax: (928) 567-1323
Organization Subpart
No
Authorized Official
TRACY EDWARDS
EXECUTIVE DIRECTOR
Phone: (928) 567-1322
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.