Canyon State Academy | |
20061 E Rittenhouse Rd Queen Creek AZ 85142-9715 | |
(480) 987-2047 | |
Not Available |
Full Name | Canyon State Academy |
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Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
Location | 20061 E Rittenhouse Rd, Queen Creek, Arizona |
Authorized Official Name and Position | Rusty E. Alexander (BUSINESS MANAGING DIRECTOR) |
Authorized Official Contact | 7753922639 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 Number | 1346766953 |
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Provider Enumeration Date | 08/15/2017 |
Last Update Date | 03/15/2024 |
Certification Date | 03/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346766953 | NPI | - | NPPES |
News Archive
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