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RITE OF PASSAGE INC. NPI 1346766953


NPI Information

NPI: 1346766953
Provider Name: RITE OF PASSAGE, INC.

Doing Business As: CANYON STATE ACADEMY

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
20061 E RITTENHOUSE RD
QUEEN CREEK, AZ
ZIP 85142
Phone: (480) 987-2047
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RITE OF PASSAGE, INC. is a residential treatment facility emotionally disturbed children in Queen Creek, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. RITE OF PASSAGE, INC. NPI is 1346766953. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyon State Academy.

The provider's business location address is:

20061 E RITTENHOUSE RD
QUEEN CREEK, AZ
ZIP 85142-715
Phone: (480) 987-2047

The provider's authorized official is Rusty E. Alexander .
The authorized official title is Business Managing Director and has the following contact phone number (775) 392-2639.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 3/15/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthCSLG6685ARIZONANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.