| NPI | 1780177535 |
|---|---|
| Doing Business As | COPPER HEIGHTS BH |
| Entity Type | Organization |
| Authorized Contact | MARY GRACE LEACH Coe 602-368-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5449) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |