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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, LPC (CHIEF EXECUTIVE OFFICER)
(928) 757-8111
Entity
Organization

Contact information

Practice address
915 AIRWAY AVE STE A, KINGMAN, AZ 86409-3573
(928) 718-4800
(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
261QM0855X
Adolescent and Children Mental Health Clinic/Center
BH2060
AZ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
OTC7272
AZ

Other

Enumeration date
11/15/2006
Last updated
06/23/2021
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