Organization · Type 2 NPI

Mingus Mountain Estate Residencial Center, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Casa Grande, AZ

NPI number 1891324711 Active

Practice location

1120 E 6th St
Casa Grande, AZ 85122-4206

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

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.

3 other providers at this address

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NPI record

NPI: 1891324711
Entity type: Organization (Type 2)
Issued: Apr 2, 2020
Last updated: Jun 6, 2025
Status: Active
Subpart: Yes of Mingus Mountain Estate Residencial Center, Inc.

Other names

<unavail>
Casa Grande Academy · doing business as
Casa Grande Academy · doing business as

Authorized official

Mr. Randy Copas
Regional Executive Director
(520) 340-4601

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About NPI 1891324711

Mingus Mountain Estate Residencial Center, Inc.'s National Provider Identifier is 1891324711, issued on Apr 2, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Casa Grande, AZ. The record was last updated on Jun 6, 2025.