Mingus Mountain Estate Residencial Center, Inc.
NPI #1891324711 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1891324711
- Entity Type
- Organization
- Organization Name
- Mingus Mountain Estate Residencial Center, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Apr 2, 2020
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 1120 E 6TH ST
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-4206
- Phone
- (714) 317-6552
Authorized Official
- Name
- MR. RANDY COPAS
- Title
- REGIONAL EXECUTIVE DIRECTOR
- Phone
- (520) 340-4601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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