Mingus Mountain Estate Residencial Center, Inc.
NPI #1467654814 in Prescott Valley, Arizona
Provider Information
- NPI Number
- 1467654814
- Entity Type
- Organization
- Organization Name
- Mingus Mountain Estate Residencial Center, Inc.
- Primary Specialty
- Assisted Living Facility - Assisted Living, Behavioral Disturbances
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- HC 76 HWY 89 A N JUNCTION 151
- City
- Prescott Valley
- State
- Arizona
- ZIP Code
- 86312-6485
- Phone
- (602) 335-2000
Authorized Official
- Name
- CHRIS BANKEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (602) 335-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
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