Organization · Type 2 NPI
Mingus Mountain Estate Residential Center Inc
Assisted Living Facility (Behavioral Disturbances) · Dewey, AZ
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
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) Primary | 3104A0630X | BH-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.