MINGUS MOUNTAIN ESTATE RESIDENTIAL TREATMENT CENTERS NPI 1356358519

NPI Information

MINGUS MOUNTAIN ESTATE RESIDENTIAL TREATMENT CENTERS is a residential treatment facility emotionally disturbed children in Prescott Valley, AZ. The provider is 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. MINGUS MOUNTAIN ESTATE RESIDENTIAL TREATMENT CENTERS NPI is 1356358519. The provider is registered as an organization entity type.

The provider's business location address is:

HC 76 HWY 89 A N JUNCTION 151
PRESCOTT VALLEY, AZ
ZIP 86312
Phone: (602) 335-2068
Fax: (602) 335-2066

The provider's authorized official is Chris Banken .
The authorized official title is Director and has the following contact phone number (602) 335-2000.

The enumeration date for this NPI number is 8/1/2006 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:

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