institution
Mikid, Mentally Ill Kids In Distress
Voluntary or Charitable Agency in Phoenix, Arizona
NPI 1922036599

Mikid, Mentally Ill Kids In Distress is a Voluntary or Charitable Agency based in Phoenix, AZ. Mikid, Mentally Ill Kids In Distress practices in Phoenix, AZ. The NPI Number for Mikid, Mentally Ill Kids In Distress is 1922036599 and holds a License No. CSA05VO0142 (Arizona).

The current practice location address for Mikid, Mentally Ill Kids In Distress is 755 E Willetta St, Phoenix, AZ and can be reached out via phone at 602-253-1240 and via fax at 602-253-1250. You can also correspond with Mikid, Mentally Ill Kids In Distress through the mailing address at 755 E WILLETTA ST, PHOENIX, AZ - 85006-2723 (mailing address contact number: 602-253-1240).

Location: 755 E Willetta St, Phoenix, AZ, 85006-2723
institution
Provider Profile Details
NPI Number
1922036599
Provider Name
Mikid, Mentally Ill Kids In Distress
Credential
Provider Entity Type
Organization
Address
755 E Willetta St, Phoenix, AZ, 85006-2723
Phone Number
602-253-1240
Fax Number
602-253-1250
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
757114 05 AZ
institution
Provider Business Practice Location Address Details
Address
755 E Willetta St
City
State
Zip
85006-2723
Phone Number
602-253-1240
Fax Number
602-253-1250
person
Provider Business Mailing Address Details
Address
755 E Willetta St
City
State
Zip
85006-2723
Phone Number
602-253-1240
Fax Number
602-253-1250
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
CSA05VO0142 (Arizona)
Definition
Definition to come...
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