| NPI | 1942347034 |
|---|---|
| Other Name | MINGUS MOUNTAIN ACADEMY |
| Entity Type | Organization |
| Authorized Contact | CHRIS BANKEN Executive Director 602-335-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ BH-2839) |
| Additional Taxonomies | 251S00000X (Licence: AZ BH 2839) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |