Organization · Type 2 NPI
Mentally Ill Kids In Distress
Mental Health Clinic/Center (Including Community Mental Health Center) · Pueblo, CO
NPI number
1336800341
Active
Practice location
115 E Riverwalk Unit 110
Pueblo, CO 81003-3308
Fax (602) 840-3409
Mailing address
7816 N 19th Ave
Phoenix, AZ 85021-7036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1336800341
Mentally Ill Kids In Distress's National Provider Identifier is 1336800341, issued on Jan 3, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Pueblo, CO. The record was last updated on Aug 14, 2024.