Organization Name: | MOHAVE MENTAL HEALTH CLINIC INC |
NPI Number: | 1316023864 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN D ABBOTT (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 2187 Swanson Ave Lake Havasu City |
State: | AZ US |
Postal Code: | 86403 |
Phone Number: | 9288553432 |
Fax Number: | 9288550103 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | BH645 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |