Organization · Type 2 NPI
Mikid, Mentally Ill Kids In Distress
Voluntary or Charitable Agency · Phoenix, AZ
NPI number
1922036599
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 | CSA05VO0142 (AZ) |
Voluntary or Charitable Agency: Definition to come...
Another provider at this address
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About NPI 1922036599
Mikid, Mentally Ill Kids In Distress's National Provider Identifier is 1922036599, issued on Jun 30, 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 22, 2020.