Lake Montezuma Rtc, Llc is a health care provider in Rimrock, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||3090 Coronado Trail, Rimrock, AZ 86335-5283, US|
|Practice Location Phone||928-567-1322|
|Practice Location Fax||928-567-1323|
|Legal Business Name||LAKE MONTEZUMA RTC, LLC|
|Other Organization Name||SEDONA SKY ACADEMY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Apr 23, 2014|
|Last Update Date ?||Apr 23, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Residential Treatment Facility, Emotionally Disturbed Children||Residential Treatment Facilities||BH4470||Arizona|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lake Montezuma Rtc, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Tammy Behrmann|
|Authorized Official Title/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||928-567-1322|