| Mohave Mental Health Clinic Inc | |
|
2187 Swanson Ave Lake Havasu City AZ 86403 | |
| (928) 855-3432 | |
| (928) 855-0103 |
| Full Name | Mohave Mental Health Clinic Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2187 Swanson Ave, Lake Havasu City, 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 3707 N Stockton Hill Rd Ste B Kingman AZ 86409-0507 Ph: (928) 757-8111 | Mohave Mental Health Clinic Inc 2187 Swanson Ave Lake Havasu City AZ 86403 Ph: (928) 855-3432 |
| NPI Number | 1316023864 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316023864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | BH645 (Arizona) | Secondary |
| 261Q00000X | Clinic/center | OTC5973 (Arizona) | Primary |
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