institution
Mingus Mountain Estate Residential Center Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Prescott Valley, Arizona
NPI 1356358519

Mingus Mountain Estate Residential Center Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Prescott Valley, AZ. Mingus Mountain Estate Residential Center Inc practices in Prescott Valley, AZ. The NPI Number for Mingus Mountain Estate Residential Center Inc is 1356358519 and holds a License No. BH-312 (Arizona).

The current practice location address for Mingus Mountain Estate Residential Center Inc is 15801 E Don Carlos Dr, Prescott Valley, AZ and can be reached out via phone at 602-335-2068 and via fax at 602-335-2066. You can also correspond with Mingus Mountain Estate Residential Center Inc through the mailing address at 2517 N GREAT WESTERN DR STE P, PRESCOTT VALLEY, AZ - 86314-2597 (mailing address contact number: 602-335-2068).

Location: 15801 E Don Carlos Dr, Prescott Valley, AZ, 86314-2597
institution
Provider Profile Details
NPI Number
1356358519
Provider Name
Mingus Mountain Estate Residential Center Inc
Credential
Provider Entity Type
Organization
Address
15801 E Don Carlos Dr, Prescott Valley, AZ, 86314-2597
Phone Number
602-335-2068
Fax Number
602-335-2066
Provider Enumeration Date
08/01/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
15801 E Don Carlos Dr
City
State
Zip
86315-4109
Phone Number
602-335-2068
Fax Number
602-335-2066
person
Provider Business Mailing Address Details
Address
2517 N Great Western Dr Ste P
City
State
Zip
86314-2597
Phone Number
602-335-2068
Fax Number
602-335-2066
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH-312 (Arizona)
Definition
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.
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