Organization · Type 2 NPI
Mikid, Mentally Ill Kids In Distress
Voluntary or Charitable Agency · Phoenix, AZ
NPI number
1891701280
Active
Practice location
755 E Willetta St, Ste. 128
Phoenix, AZ 85006-2723
Fax (602) 253-1250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | CSA05CP0172 (AZ) |
Voluntary or Charitable Agency: Definition to come...
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About NPI 1891701280
Mikid, Mentally Ill Kids In Distress's National Provider Identifier is 1891701280, issued on Jul 31, 2006. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 14, 2024.