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MINGUS CENTER - RIO DE ESPERANZA
NPI 1972639748
Substance Abuse Rehabilitation Facility in Cottonwood, AZ

Active since February 26, 2007
636 N MAIN ST, COTTONWOOD, AZ 86326(928) 639-4440(928) 639-3924 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mingus Center - Rio De Esperanza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINGUS CENTER - RIO DE ESPERANZA (NPI 1972639748) is a healthcare organization registered as a substance abuse rehabilitation facility in Cottonwood, Arizona and active in the NPI registry since February 2007. The organization lists Maria Carrillo, Finance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1972639748
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMAIN STREET DIAGNOSTIC, LLC
Location Address636 N MAIN STCottonwood, AZ 86326-3725
Mailing Address636 N Main StCottonwood, AZ 86326-3725 · (928) 639-4440 · Fax (928) 639-3924
Phone(928) 639-4440
Fax(928) 639-3924
Organization SubpartNo
Authorized OfficialMaria CarrilloFinance Coordinator · (928) 639-4440
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972639748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in AZ · PENDING
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
636 N MAIN ST, Cottonwood, AZ 86326
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Other Names 1

Doing Business AsMingus Center - Rio De Esperanza

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAIN STREET DIAGNOSTIC LLC
Psychiatric Hospital
636 N MAIN ST
COTTONWOOD, AZ 86326
Yavapai County (928) 639-4440
SPECTRUM HEALTHCARE GROUP, INC.
Substance Abuse Rehabilitation Facility
636 N MAIN ST
COTTONWOOD, AZ 86326
Yavapai County (928) 634-2236
MR. ROBERT ALAN HICKS MSW, LISAC, BHP
Social Worker
636 N MAIN ST
COTTONWOOD, AZ 86326
Yavapai County (928) 639-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Diagnostic, LLC's NPI number?

The NPI number for Main Street Diagnostic, LLC is 1972639748. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Mingus Center - Rio De Esperanza.

Where is Main Street Diagnostic, LLC located?

Main Street Diagnostic, LLC is located at 636 N Main St, Cottonwood, AZ 86326. The listed phone number is (928) 639-4440.

What is Main Street Diagnostic, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Main Street Diagnostic, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.