Mingus Mountain Estate Residential Center Inc

LBN: Mingus Mountain Estate Residential Center Inc
Mingus Mountain Estate Residential Center Inc is an health care organization with primary practice located at 15801 E Don Carlos Dr , Prescott Valley AZ 86315-4109. 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 Residential Center Inc can be contacted via phone (602) 335-2068, or through Copas, Randy via phone (602) 335-2000.

Contact Information

Primary practice address
15801 E Don Carlos Dr Prescott Valley AZ 86315-4109
Phone: (602) 335-2068
Fax: (602) 335-2066
Website:
Map and Directions
Authorized official contact:
Name: Copas, Randy
Phone: (602) 335-2000

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH-312 Arizona

Profile Details

NPI number 1356358519
LBN Legal business name Mingus Mountain Estate Residential Center Inc
DBA Doing business as
Authorized official Copas, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Jun 19th, 2023 - about last year

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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