Organization · Type 2 NPI

Mingus Mountain Estate Residential Center Inc

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

NPI number 1497828503 Active

Practice location

3801 N Robert Rd
Prescott Valley, AZ 86314-8107

Call (602) 335-2095 Map

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-1487 (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 1497828503

Mingus Mountain Estate Residential Center Inc's National Provider Identifier is 1497828503, issued on Nov 16, 2006. 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 Mar 10, 2025.