| NPI | 1124192190 |
|---|---|
| Other Name | OCOTILLO |
| Former Legal Business Name | COPE BEHAVIORAL SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | RODNEY COOK Chief Executive Officer 520-792-3293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ bh-1469) |
| Additional Taxonomies | 251S00000X (Licence: AZ BH-1469) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-08-27 |