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Mikid, Mentally Ill Kids in Distress — NPI 1891701280, Phoenix, AZ | NPI Central

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NPI 1891701280

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Mikid, Mentally Ill Kids in Distress

NPI 1891701280 · Voluntary or Charitable Agency · Phoenix, AZ

Provider details

NPI number: 1891701280
Entity type: Organization
Primary specialty: Voluntary or Charitable AgencyAgencies
Authorized official: Jeff Kazmierczak, Executive Director
License: CSA05CP0172 (AZ)

Practice location

755 E Willetta St

Ste. 128

Phoenix, AZ 85006-2723

Phone: (602) 253-1240

Fax: (602) 253-1250

More AZ providers

Mailing address

755 E Willetta St

Phoenix, AZ 85006-2723

Registry dates

Enumerated: 2006-07-31
Last updated: 2024-08-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.