| Cope Community Services, Inc. | |
|
535 E Drachman St Tucson AZ 85705 | |
| (520) 903-1563 | |
| (520) 903-1576 |
| Full Name | Cope Community Services, Inc. |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 535 E Drachman St, Tucson, Arizona |
| Authorized Official Name and Position | Rodney Cook (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5207923293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Community Services, Inc. 1477 W Commerce Ct Tucson AZ 85746-6016 Ph: (520) 792-3293 | Cope Community Services, Inc. 535 E Drachman St Tucson AZ 85705 Ph: (520) 903-1563 |
| NPI Number | 1124192190 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124192190 | NPI | - | NPPES |
| 408949 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-1469 (Arizona) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH-1469 (Arizona) | Primary |
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