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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