Organization
MENTALLY ILL KIDS IN DISTRESS
Active
Other names
MIKID
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF KAZMIERCZAK RN,MSN,MBA (CEO)
(602) 253-1240
Entity
Organization
Contact information
Practice address
115 E RIVERWALK UNIT 110, PUEBLO, CO 81003-3308
(602) 252-1240
(602) 840-3409
Mailing address
7816 N 19TH AVE, PHOENIX, AZ 85021-7036
(602) 253-1240
(602) 840-3409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
08/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us