Main Street Diagnostic LLC
Main Street Diagnostic LLC is a Psychiatric Hospital in Cottonwood, Arizona. Licensed in Arizona. Registered with an NPI since 2005.
- Licensed in
- AZ
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
636 N Main StCottonwood, AZ 86326-3725
Phone: (928) 639-4440
Fax: (928) 639-3924
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Hospital (primary) | Taxonomy 283Q00000X · Licence BH-2492 (AZ) |
|---|
Record details
| NPI number | 1225027477 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maria Carrillo — Finance Coordinator · (928) 639-4440 |
| Other names | Mingus Center (Level 1 Sub Acute Agency) |
| NPI enumerated | October 20, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 636 N Main St, Cottonwood, AZ 86326-3725 |