Organization
MOHAVE MENTAL HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN D ABBOTT MA (CHIEF EXECUTIVE OFFICER)
(928) 757-8111
Entity
Organization
Contact information
Practice address
3505 WESTERN AVE STE A, KINGMAN, AZ 86409-3074
(928) 757-8111
(928) 757-1199
Mailing address
1743 SYCAMORE AVE, KINGMAN, AZ 86409-0927
(928) 757-8111
(928) 757-3256
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH2398
AZ
Other
Enumeration date
05/13/2008
Last updated
03/30/2016
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