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Organization

MOHAVE MENTAL HEALTH CLINIC INC

Active
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Organization

MOHAVE MENTAL HEALTH CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DAWN D ABBOTT MA ABHM (CHIEF EXECUTIVE OFFICER)
(928) 757-8111
Entity
Organization

Contact information

Practice address
1741 SYCAMORE AVENUE, KINGMAN, AZ 86409
(928) 757-8111
(928) 757-7872
Mailing address
1743 SYCAMORE AVENUE, KINGMAN, AZ 86409
(928) 757-8111
(928) 757-3256

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
BH1940
AZ
273R00000X
Psychiatric Hospital Unit
Primary
IFBH6611
AZ

Other

Enumeration date
11/09/2006
Last updated
03/30/2016
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