# RITE OF PASSAGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RITE OF PASSAGE INC
- **Other names:** Canyon State Academy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346766953
- **Legal business name:** RITE OF PASSAGE INC
- **Authorized official:** RUSTY E. ALEXANDER (BUSINESS MANAGING DIRECTOR)
- **Authorized official phone:** (775) 392-2639

## Contact information

- **Practice address:** 20061 E RITTENHOUSE RD, QUEEN CREEK, AZ 85142-9715
- **Practice address phone:** (480) 987-2047
- **Mailing address:** 20275 E RITTENHOUSE RD STE 105, QUEEN CREEK, AZ 85142-1661
- **Mailing address phone:** (480) 987-2053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | CSLG6685 | AZ | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2017
- **Last updated:** 03/15/2024