| NPI | 1891965703 |
|---|---|
| Other Name | LA CHOLLA INTEGRATED CLINIC |
| Former Legal Business Name | COPE BEHAVIORAL SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | RODNEY COOK Chief Executive Officer 520-792-3293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AZ ot6074) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ OTC6074) |
| 251B00000X Case Management (Licence: AZ OTC6074) | |
| 251S00000X Community/Behavioral Health (Licence: AZ OTC6074) | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X (Licence: AZ otc6074) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2021-08-27 |