# MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.
- **Other names:** Casa Grande Academy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891324711
- **Legal business name:** MINGUS MOUNTAIN ESTATE RESIDENCIAL CENTER, INC.
- **Authorized official:** MR. RANDY COPAS (REGIONAL EXECUTIVE DIRECTOR)
- **Authorized official phone:** (520) 340-4601

## Contact information

- **Practice address:** 1120 E 6TH ST, CASA GRANDE, AZ 85122-4206
- **Practice address phone:** (714) 317-6552
- **Mailing address:** 1120 E 6TH ST, CASA GRANDE, AZ 85122-4206
- **Mailing address phone:** (714) 317-6552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2020
- **Last updated:** 06/06/2025