| The Copa Krawler Llc | |
|
35444 W San Alvarez Ave Maricopa AZ 85138-3702 | |
| (480) 868-9846 | |
| (520) 280-0598 |
| Full Name | The Copa Krawler Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 35444 W San Alvarez Ave, Maricopa, Arizona |
| Authorized Official Name and Position | Regina D Thompson (OWNER-BHP) |
| Authorized Official Contact | 4808689846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Copa Krawler Llc 35444 W San Alvarez Ave Maricopa AZ 85138-3702 Ph: (480) 828-6198 | The Copa Krawler Llc 35444 W San Alvarez Ave Maricopa AZ 85138-3702 Ph: (480) 868-9846 |
| NPI Number | 1295538270 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 03/27/2025 |
| Certification Date | 03/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295538270 | NPI | - | NPPES |
| 170471 | Medicaid | AZ |
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