| Mohave Mental Health Clinic Inc | |
|
3505 Western Ave Ste A Kingman AZ 86409-3074 | |
| (928) 757-8111 | |
| (928) 757-1199 |
| Full Name | Mohave Mental Health Clinic Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3505 Western Ave Ste A, Kingman, Arizona |
| Authorized Official Name and Position | Dawn D Abbott (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9287578111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohave Mental Health Clinic Inc 1743 Sycamore Ave Kingman AZ 86409-0927 Ph: (928) 757-8111 | Mohave Mental Health Clinic Inc 3505 Western Ave Ste A Kingman AZ 86409-3074 Ph: (928) 757-8111 |
| NPI Number | 1922275692 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922275692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH2398 (Arizona) | Primary |
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