Organization
MIKID MENTALLY ILL KIDS IN DISTRESS
Active
Organization
MIKID MENTALLY ILL KIDS IN DISTRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT AUNA BHT (CHIEF EXECUTIVE OFFICER)
(602) 253-1240
Entity
Organization
Contact information
Practice address
901 E COTTONWOOD LN STE AB, CASA GRANDE, AZ 85122-2221
(520) 509-6669
Mailing address
7816 N 19TH AVE, PHOENIX, AZ 85021-7036
(602) 253-1240
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC8547
AZ
Other
Enumeration date
09/09/2014
Last updated
12/05/2025
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