Organization · Type 2 NPI

Mingus Mountain Estate Residencial Center, Inc.

Assisted Living Facility (Behavioral Disturbances) · Prescott Valley, AZ

NPI number 1467654814 Active

Practice location

HC 76 Hwy 89 A N Junction 151
Prescott Valley, AZ 86312-6485

Call (602) 335-2000 Map

Mailing address

PO Box 26485
Prescott Valley, AZ 86312-6485

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility (Behavioral Disturbances) Primary	3104A0630X	BH-1487 (AZ)
Emotionally Disturbed Childrens' Residential Treatment Facility	322D00000X	BH-312 (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.

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About NPI 1467654814

Mingus Mountain Estate Residencial Center, Inc.'s National Provider Identifier is 1467654814, issued on Jun 5, 2007. The primary taxonomy on file is Assisted Living Facility (Behavioral Disturbances) (3104A0630X), and the practice location is in Prescott Valley, AZ. The record was last updated on Sep 11, 2025.