# MOHAVE MENTAL HEALTH CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912458589
- **Authorized official:** DAWN D ABBOTT MA, LPC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (928) 757-8111

## Contact information

- **Practice address:** 151 RIVIERA DR STE B, LAKE HAVASU CITY, AZ 86403-5740
- **Practice address phone:** (928) 855-3432
- **Practice address fax:** (928) 855-0103
- **Mailing address:** 3707 N STOCKTON HILL RD STE B, KINGMAN, AZ 86409-0507
- **Mailing address phone:** (928) 757-8111
- **Mailing address fax:** (928) 757-3256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | BH5021 | AZ | Yes |

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 06/23/2021