Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Street Diagnostic, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1972639748

Main Street Diagnostic, LLC is a Substance Abuse Rehabilitation Facility in Cottonwood, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

636 N Main St
Cottonwood, AZ 86326-3725
Phone: (928) 639-4440
Fax: (928) 639-3924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence PENDING (AZ)

Record details

NPI number1972639748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Carrillo — Finance Coordinator · (928) 639-4440
Other names Mingus Center - Rio De Esperanza
NPI enumeratedFebruary 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address636 N Main St, Cottonwood, AZ 86326-3725

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