Organization
RITE OF PASSAGE, INC.
Active
Parent organization
RITE OF PASSAGE INC
Other names
Canyon State Academy
Organization subpart
Yes
Provider details
NPI number
Legal business name
RITE OF PASSAGE INC
Authorized official
RUSTY E. ALEXANDER (BUSINESS MANAGING DIRECTOR)
(775) 392-2639
Entity
Organization
Contact information
Practice address
20061 E RITTENHOUSE RD, QUEEN CREEK, AZ 85142-9715
(480) 987-2047
Mailing address
20275 E RITTENHOUSE RD STE 105, QUEEN CREEK, AZ 85142-1661
(480) 987-2053
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
CSLG6685
AZ
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
03/15/2024
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