Mingus Mountain Estate Residential Center Inc.
NPI #1942347034 in Prescott Valley, Arizona
Provider Information
- NPI Number
- 1942347034
- Entity Type
- Organization
- Organization Name
- Mingus Mountain Estate Residential Center Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 8349 EAST SPOUSE DRIVE
- Address 2
- SUITE B
- City
- Prescott Valley
- State
- Arizona
- ZIP Code
- 86314
- Phone
- (602) 335-3000
Authorized Official
- Name
- MR. CHRIS BANKEN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (602) 335-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Community/Behavioral Health |
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