MOHAVE MENTAL HEALTH CLINIC INC – NPI #1861562423
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

MOHAVE MENTAL HEALTH CLINIC INC is a community based residential treatment facility located in KINGMAN, AZ. NPPES has assigned the NPI number 1861562423 to MOHAVE MENTAL HEALTH CLINIC INC on November 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 5 years ago on Jun 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOHAVE MENTAL HEALTH CLINIC INC below.

NPI Profile for
MOHAVE MENTAL HEALTH CLINIC INC

NPI Number
1861562423
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOHAVE MENTAL HEALTH CLINIC INC
Primary location
1080 SHELDON AVE
KINGMAN, AZ 86409
Phone: (928) 757-8111 Fax: (928) 757-3256
Mailing address
3707 N STOCKTON HILL RD STE B
KINGMAN, AZ 86409-0507
Phone: (928) 757-8111 Fax: (928) 757-3256
Organization Subpart
No
Authorized Official
DAWN ABBOTT
CHIEF EXECUTIVE OFFICER
Phone: (928) 757-8111
Updated
Certification Date
Jun 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 AZ BH647 AZ DOHS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.