Organization
MOHAVE MENTAL HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN D ABBOTT MA, LPC (CHIEF EXECUTIVE OFFICER)
(928) 757-8111
Entity
Organization
Contact information
Practice address
1080 SHELDON AVE, KINGMAN, AZ 86409
(928) 757-8111
(928) 757-3256
Mailing address
3707 N STOCKTON HILL RD STE B, KINGMAN, AZ 86409-0507
(928) 757-8111
(928) 757-3256
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH647 AZ DOHS
AZ
Other
Enumeration date
11/09/2006
Last updated
06/23/2021
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