Casa Grande Academy

LBN: Mingus Mountain Estate Residencial Center, Inc.
Casa Grande Academy is an health care organization with primary practice located at 1120 E 6Th St , Casa Grande AZ 85122-4206. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Mingus Mountain Estate Residencial Center, Inc. can be contacted via phone (714) 317-6552, or through Henderson, Michael via phone (520) 340-4601.

Contact Information

Primary practice address
1120 E 6Th St Casa Grande AZ 85122-4206
Phone: (714) 317-6552
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Michael
Phone: (520) 340-4601

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1891324711
LBN Legal business name Mingus Mountain Estate Residencial Center, Inc.
DBA Doing business as Casa Grande Academy
Authorized official Henderson, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 2nd, 2020
Last updated Nov 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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