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 |
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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 |
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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 |
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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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