| NPI | 1871901033 |
|---|---|
| Other Name | CRAYCROFT INTEGRATED CLINIC |
| Former Legal Business Name | COPE BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | RODNEY COOK Chief Executive Officer 520-792-3293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC 6706) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ OTC 6706) |
| 251B00000X Case Management (Licence: AZ OTC 6706) | |
| 251S00000X | |
| 261QH0100X Clinic/Center, Health Services (Licence: AZ OTC6706) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261Q00000X Clinic/Center (Licence: AZ OTC6706) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ OTC6706) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: AZ OTC6706) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2021-08-27 |