MAIN STREET DIAGNOSTIC LLC NPI 1225027477

NPI Information

MAIN STREET DIAGNOSTIC LLC is a psychiatric hospital in Cottonwood, AZ. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. MAIN STREET DIAGNOSTIC LLC NPI is 1225027477. The provider is registered as an organization entity type.
The provider Is Doing Business As Mingus Center (level 1 Sub Acute Agency).

The provider's business location address is:

636 N MAIN ST
COTTONWOOD, AZ
ZIP 86326-725
Phone: (928) 639-4440
Fax: (928) 639-3924

The provider's authorized official is Maria Carrillo .
The authorized official title is Finance Coordinator and has the following contact phone number (928) 639-4440.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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