Coyote Task Force

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COYOTE TASK FORCE

Doing business as

Our Place Clubhouse

Practice address

66 E Pennington Street, Coyote Taskforce Corp
Tucson, AZ 85701

Phone

(520) 884-5553

Fax

(520) 670-1496

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Jeff Grobe

Title

Executive Director

Phone

(520) 886-5553

Specialties & licenses 1

Addresses

Other names 1

• Our Place Clubhouse Doing business as

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1922166107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E PENNINGTON STREET, COYOTE TASKFORCE CORP",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85701",
            "telephone_number": "520-884-5553",
            "fax_number": "520-670-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E PENNINGTON STREET, COYOTE TASKFORCE CORP",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85701",
            "telephone_number": "520-884-5553",
            "fax_number": "520-670-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COYOTE TASK FORCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "GROBE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-886-5553"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Place Clubhouse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth (Betsy) Coyle, PT, DPT
• Myraim Coyle
• Patricia Coyne-Johnson, R.PH
• Nancy Mae Coyne, M.D.
• Lisa Sharon Coyner, PHD
• Ana Coyote
• Jeanne Kiel Cozine, R.N.
• Samantha Cozine
• Nooria Cozzetti, PA-C
• Elizabeth Cozzi, M.S., CCC-A

• Community/Behavioral Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.