SEDONA SKY ACADEMY – NPI #1972923472
Residential Treatment Facility, Emotionally Disturbed Children

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

SEDONA SKY ACADEMY is a residential treatment facility located in RIMROCK, AZ. NPPES has assigned the NPI number 1972923472 to SEDONA SKY ACADEMY on April 23, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SEDONA SKY ACADEMY” is a dba name, the actual legal business name for this organization is LAKE MONTEZUMA RTC, LLC. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEDONA SKY ACADEMY below.

NPI Profile for
LAKE MONTEZUMA RTC, LLC

NPI Number
1972923472
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE MONTEZUMA RTC, LLC
Doing Business As (dba): SEDONA SKY ACADEMY
Primary location
3090 CORONADO TRAIL
RIMROCK, AZ 86335-5283
Phone: (928) 567-1322 Fax: (928) 567-1323
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAMMY BEHRMANN
EXECUTIVE DIRECTOR
Phone: (928) 567-1322
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 AZ BH4470

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.