Healthcare Provider Details

I. General information

NPI: 1164888558
Provider Name (Legal Business Name): COPE COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 N LA CHOLLA BLVD
TUCSON AZ
85741
US

IV. Provider business mailing address

1477 W COMMERCE CT
TUCSON AZ
85746-6016
US

V. Phone/Fax

Practice location:
  • Phone: 520-792-3293
  • Fax: 520-792-4336
Mailing address:
  • Phone: 520-792-3293
  • Fax: 520-792-4336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberOTC7522
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberOTC7522
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberOTC7522
License Number State

VIII. Authorized Official

Name: MR. RODNEY COOK
Title or Position: CEO
Credential:
Phone: 520-792-3293