Copper Canyon Recovery Group

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

COPPER CANYON RECOVERY GROUP

Practice address

201 W 4TH St
Casa Grande, AZ 85122-4417

Phone

(520) 251-0088

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tony Renello

Title

Consultant

Phone

(480) 606-8602

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1790699502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 4TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 4TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224417",
            "telephone_number": "520-251-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CANYON RECOVERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "RENELLO",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "480-606-8602"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cooper Lopez and Associates
• Nicole D Cooper Lopez, PSY.D.
• Lakiesha Staci-Lee Cooper, MPH, BIRTH DOULA
• Robert Paul Cooper, DO
• Alicia C Copeland, PNP
• Corazon Inc. (Corazon Behavioral Health Services)
• Corazon Integrated Healthcare Services
• Naomi R Cordova, PH.D.
• Suzette Cordova
• Cornerstone Caregiving West LLC

• Substance Abuse Rehabilitation Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.