OrganizationActive
Mikid, Mentally Ill Kids in Distress
NPI 1922036599 · Voluntary or Charitable Agency · Phoenix, AZ
Provider details
- NPI number
- 1922036599
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vicki Johnson, Executive Director(602) 253-1240
- License
- CSA05VO0142 (AZ)
Specialties & taxonomies
Agencies
Practice location
755 E Willetta St
Ste 128
Phoenix, AZ 85006-2723
Phone: (602) 253-1240
Fax: (602) 253-1250
Approximate (ZIP-level) locationGet directions
Mailing address
755 E Willetta St
Phoenix, AZ 85006-2723
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.