Mingus Mountain Academy

LBN: Mingus Mountain Estate Residential Center Inc.
Mingus Mountain Academy is an health care organization with primary practice located at 8349 East Spouse Drive Suite B, Prescott Valley AZ 86314. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Mingus Mountain Estate Residential Center Inc. can be contacted via phone (602) 335-3000, or through Banken, Chris via phone (602) 335-2000.

Contact Information

Primary practice address
8349 East Spouse Drive Suite B Prescott Valley AZ 86314
Phone: (602) 335-3000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Banken, Chris
Phone: (602) 335-2000

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X BH-2839 Arizona
Agencies / Community/Behavioral Health 251S00000X BH 2839 Arizona

Profile Details

NPI number 1942347034
LBN Legal business name Mingus Mountain Estate Residential Center Inc.
DBA Doing business as Mingus Mountain Academy
Authorized official Banken, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 4 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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