| Mohave Mental Health Clinic Inc | |
|
1741 Sycamore Avenue Kingman AZ 86409 | |
| (928) 757-8111 | |
| (928) 757-7872 |
| Full Name | Mohave Mental Health Clinic Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1741 Sycamore Avenue, 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 Avenue Kingman AZ 86409 Ph: (928) 757-8111 | Mohave Mental Health Clinic Inc 1741 Sycamore Avenue Kingman AZ 86409 Ph: (928) 757-8111 |
| NPI Number | 1952471518 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952471518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | BH1940 (Arizona) | Secondary |
| 273R00000X | Psychiatric Unit | IFBH6611 (Arizona) | Primary |
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