Organization · Type 2 NPI

Mingus Mountain Estate Residential Center Inc

Assisted Living Facility (Behavioral Disturbances) · Dewey, AZ

NPI number 1114090925 Active

Practice location

100 Dewey Road, Farrington Home
Dewey, AZ 86327

Fax (602) 249-1311

Mailing address

2517 N Great Western Dr
Prescott Valley, AZ 86314-2597

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Behavioral Disturbances) Primary 3104A0630XBH-1122 (AZ)

Assisted Living Facility (Behavioral Disturbances): A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

About NPI 1114090925

Mingus Mountain Estate Residential Center Inc's National Provider Identifier is 1114090925, issued on Nov 17, 2006. The primary taxonomy on file is Assisted Living Facility (Behavioral Disturbances) (3104A0630X), and the practice location is in Dewey, AZ. The record was last updated on Mar 10, 2025.