Organization
MENTALLY ILL KIDS IN DISTRESS
Active
Organization
MENTALLY ILL KIDS IN DISTRESS
Active
Other names
MIKID
Organization subpart
No
Provider details
NPI number
Authorized official
MATT AUNA BHT (CEO)
(480) 414-4879
Entity
Organization
Contact information
Practice address
810 GEMSTONE AVE STE 1&2&3, BULLHEAD CITY, AZ 86442-6476
(928) 733-0093
(928) 636-9904
Mailing address
7816 N 19TH AVE, PHOENIX, AZ 85021-7036
(480) 414-4879
(602) 253-1250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
APPLICATION
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
12/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up