Organization · Type 2 NPI
Mingus Mountain Estate Residential Center Inc
Emotionally Disturbed Childrens' Residential Treatment Facility · Prescott Valley, AZ
Practice location
15801 E Don Carlos Dr
Prescott Valley, AZ 86315-4109
Fax (602) 335-2066
Mailing address
2517 N Great Western Dr Ste P
Prescott Valley, AZ 86314-2597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH-312 (AZ) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
Other emotionally disturbed childrens' residential treatment facility providers in Prescott Valley
About NPI 1356358519
Mingus Mountain Estate Residential Center Inc's National Provider Identifier is 1356358519, issued on Aug 1, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Prescott Valley, AZ. The record was last updated on Jun 19, 2023.