Canyon State Academy - Mental Health Clinic in Queen Creek, AZ

Canyon State Academy is a mental health clinic (Residential Treatment Facility, Emotionally Disturbed Children) in Queen Creek, Arizona. The current practice location for Canyon State Academy is 20061 E Rittenhouse Rd, Queen Creek, Arizona. For appointments, you can reach them via phone at (480) 987-2047. The mailing address for Canyon State Academy is 20275 E Rittenhouse Rd Ste 105, Queen Creek, Arizona and phone number is (480) 987-2053.

Canyon State Academy is licensed to practice in * (Not Available) (license number ) and its NPI number is 1346766953. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (480) 987-2047.

Contact Information

Canyon State Academy
20061 E Rittenhouse Rd
Queen Creek
AZ 85142-9715
(480) 987-2047
Not Available

Mental Health Clinic Profile

Full NameCanyon State Academy
SpecialityResidential Treatment Facility, Emotionally Disturbed Children
Location20061 E Rittenhouse Rd, Queen Creek, Arizona
Authorized Official Name and PositionRusty E. Alexander (BUSINESS MANAGING DIRECTOR)
Authorized Official Contact7753922639
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Canyon State Academy
20275 E Rittenhouse Rd Ste 105
Queen Creek
AZ 85142-1661

Ph: (480) 987-2053
Canyon State Academy
20061 E Rittenhouse Rd
Queen Creek
AZ 85142-9715

Ph: (480) 987-2047

NPI Details:

NPI Number1346766953
Provider Enumeration Date08/15/2017
Last Update Date03/15/2024
Certification Date03/15/2024

Medical Identifiers

Medical identifiers for Canyon State Academy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346766953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0855XClinic/center - Adolescent And Children Mental Health CSLG6685 (Arizona)Secondary
322D00000XResidential Treatment Facility, Emotionally Disturbed Children (* (Not Available))Primary

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Residential Treatment Facility, Emotionally Disturbed Children in Queen Creek, AZ

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