MAIN STREET DIAGNOSTIC LLC

COTTONWOOD, AZ
NPI1225027477
Doing Business AsMINGUS CENTER (LEVEL 1 SUB ACUTE AGENCY)
Entity TypeOrganization
Authorized ContactMARIA CARRILLO
Finance Coordinator
928-639-4440
Organization Subpart ?No
Primary Taxonomy283Q00000X Psychiatric Hospital
(Licence: AZ  BH-2492)
Enumeration Date2005-10-20
Last Update Date2020-08-22
Business Address
MAIN STREET DIAGNOSTIC LLC
636 N MAIN ST
COTTONWOOD, AZ 86326-3725
Phone number: 928-639-4440
Mailing Address
MAIN STREET DIAGNOSTIC LLC
636 N MAIN ST
COTTONWOOD, AZ 86326-3725
Phone number: 928-639-4440