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Organization

MENTALLY ILL KIDS IN DISTRESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATT AUNA BHT (CHIEF EXECUTIVE OFFICER)
(602) 253-1240
Entity
Organization

Contact information

Practice address
2891 S PACIFIC AVE, YUMA, AZ 85365-3512
(928) 344-1983
(928) 493-3976
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

Other

Enumeration date
02/12/2014
Last updated
12/05/2025
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