National Provider Identifier Database

THE SANCTUARY AT SEDONA
Substance Abuse Disorder 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.


Contact Information

THE SANCTUARY AT SEDONA
2605 SOUTH CACTUS ROAD
CORNVILLE, AZ86325
Phone: 928-639-1300
Fax: 928-639-1313
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for THE SANCTUARY AT SEDONA

NPI Number 1104379890
Legal business name
LBN
THE SANCTUARY AT SEDONA
Authorized official DEAN TARABORELLI - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/28/2016
Last updated 07/28/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH4797

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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