Mikid, Mentally Ill Kids in Distress

NPI #1891701280 in Phoenix, Arizona

Provider Information

NPI Number
1891701280
Entity Type
Organization
Organization Name
Mikid, Mentally Ill Kids in Distress
Primary Specialty
Voluntary or Charitable
Enumeration Date
Jul 31, 2006
Last Updated
Aug 14, 2024

Practice Location

Address
755 E WILLETTA ST
Address 2
STE. 128
State
Arizona
ZIP Code
85006-2723
Phone
(602) 253-1240

Authorized Official

Name
JEFF KAZMIERCZAK, RN,MSN,MBA
Title
EXECUTIVE DIRECTOR
Phone
(602) 253-1240

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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