Organization
COPE COMMUNITY SERVICES, INC.
Active
Parent organization
COPE COMMUNITY SERVICES, INC.
Other names
Craycroft Integrated Clinic, COPE Behavioral Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
COPE COMMUNITY SERVICES, INC.
Authorized official
MR. RODNEY COOK (CHIEF EXECUTIVE OFFICER)
(520) 792-3293
Entity
Organization
Contact information
Practice address
620 N CRAYCROFT RD, TUCSON, AZ 85711
(520) 519-8550
(520) 519-8540
Mailing address
1477 W COMMERCE CT, TUCSON, AZ 85746-6016
(520) 792-3293
(520) 729-4336
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
OTC 6706
AZ
251B00000X
Case Management Agency
OTC 6706
AZ
251S00000X
Community/Behavioral Health Agency
Primary
OTC 6706
AZ
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
OTC6706
AZ
261QH0100X
Health Service Clinic/Center
OTC6706
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
OTC6706
AZ
261QP2300X
Primary Care Clinic/Center
OTC6706
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
927130
—
AZ
Enumeration date
07/31/2014
Last updated
08/27/2021
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