| Canyon State Academy | |
|
20061 E Rittenhouse Rd Queen Creek AZ 85142-9715 | |
| (480) 987-2047 | |
| Not Available |
| Full Name | Canyon State Academy |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 20061 E Rittenhouse Rd, Queen Creek, Arizona |
| Authorized Official Name and Position | Rusty E. Alexander (BUSINESS MANAGING DIRECTOR) |
| Authorized Official Contact | 7753922639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon State Academy 20275 E Rittenhouse Rd Ste 105 Queen Creek AZ 85142-1661 Ph: (480) 987-2053 | Canyon State Academy 20061 E Rittenhouse Rd Queen Creek AZ 85142-9715 Ph: (480) 987-2047 |
| NPI Number | 1346766953 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346766953 | NPI | - | NPPES |
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