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Organization

FORT MOJAVE INDIAN TRIBE

Active
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Organization

FORT MOJAVE INDIAN TRIBE

Active
Other names
FORT MOJAVE INDIAN HEALTH CENTER BEHAVIORAL HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY WILLIAMS (TRIBAL CHAIRMAN)
(760) 629-4591
Entity
Organization

Contact information

Practice address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-8420
(928) 346-4679
(928) 346-4686
Mailing address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-8420
(928) 346-4679
(928) 346-4686

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—

Other

Enumeration date
04/13/2010
Last updated
04/13/2010
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