Organization · Type 2 NPI

Lake Montezuma Rtc, LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Rimrock, AZ

NPI number 1972923472 Active

Practice location

3090 Coronado Trail
Rimrock, AZ 86335-5283

Fax (928) 567-1323

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	BH4470 (AZ)

Emotionally Disturbed Childrens' Residential Treatment Facility: 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.

2 other providers at this address

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About NPI 1972923472

Lake Montezuma Rtc, LLC's National Provider Identifier is 1972923472, issued on Apr 23, 2014. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Rimrock, AZ. The record was last updated on Apr 23, 2014.