| NPI | 1154926541 |
|---|---|
| Doing Business As | COPPERLEAF HOME |
| Entity Type | Organization |
| Authorized Contact | JESUS ACOSTA CEO 480-434-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-01-21 |