THE SANCTUARY AT SEDONA – NPI #1104379890
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

THE SANCTUARY AT SEDONA is a substance abuse rehabilitation facility located in CORNVILLE, AZ. NPPES has assigned the NPI number 1104379890 to THE SANCTUARY AT SEDONA on July 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 THE SANCTUARY AT SEDONA below.

NPI Profile for
THE SANCTUARY AT SEDONA

NPI Number
1104379890
Enumeration Date

(about 10 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
THE SANCTUARY AT SEDONA
Primary location
2605 SOUTH CACTUS ROAD
CORNVILLE, AZ 86325
Phone: (928) 639-1300 Fax: (928) 639-1313
Mailing address
2675 W STATE ROUTE 89A
#1115
SEDONA, AZ 86336-5240
Phone: (928) 639-1300 Fax: (928) 639-1313
Organization Subpart
No
Authorized Official
DEAN TARABORELLI
ADMINISTRATOR
Phone: (928) 639-1300
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
AZ BH4797

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.