MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC.
Agencies at Spouse Dr, Prescott Valley, AZ

License number
Arizona BH-2839
Category
Mental Health
Type
Mental Health
License number
Arizona BH 2839
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. CHRIS BANKEN
Title: EXECUTIVE DIRECTOR
Phone: (602) 335-2000
Address
Address
8349 EAST Spouse Dr SUITE B, Prescott Valley, AZ 86314
National Provider ID: 1942347034
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. at bizstanding.com

MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER, INC

15801 E Don Carlos Dr, Prescott Valley, AZ 86315

Registration:
Jun 30, 1986
State ID:
-0187071-1
Expiration:
PERPETUAL
Vice-presidents:
Mike Forakis (Chairman), 420 N 52N Ave, Phoenix, AZ 85043 (Physical),Ali Craven (Other officer), 7007 E Gold Dust, Scottsdale, AZ 85260 (Physical),Diane Larned (Other officer), 635 E Moon Vis St, Apache Junction, AZ 85119 (Physical),...
Business type:
HOSPITAL/HEALTH CARE

MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER, INC

Prescott Valley, AZ

Status:
Inactive
Industry:
Elementary/Secondary School, Residential Care Services Elementary/Secondary School, Residential Care Services
Doing business as:
Mingus Mountain Academy<br>Mmerci<br>Mingus Mountain Estate Residential Center, Inc
Registration:
Sep 8, 2014
Phone:
(928) 772-6394 (Phone), (602) 335-2000 (Phone)
Addresses:
PO Box 26485, Prescott Valley, AZ 86312 (Mailing)
3071 N Robert Rd, Prescott Valley, AZ 86314
State ID:
0802059201
Business type:
Foreign Nonprofit Corporation
Directors:
Michael Forakis (Director),Donald L. Cross (Director),Timothy N. Peterson (Director),...
Agent:
Buddy Pettigrew,1206 Mildred Ln, Fort Worth, TX 76126 (Physical)
TIN:
32055087426

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