NPI | 1730547134 |
---|---|
Other Name | VILLA VERDE INTEGRATED CLINIC |
Former Legal Business Name | COPE BEHAVIORAL SERVICES, INC. |
Entity Type | Organization |
Authorized Contact | RODNEY COOK CEO 520-792-3293 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ OTC7477) |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ OTC7477) | |
251B00000X Case Management (Licence: AZ OTC7477) | |
251S00000X (Licence: AZ OTC7477) | |
251V00000X Voluntary or Charitable | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2016-02-01 |
Last Update Date | 2022-09-28 |