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
2615 E BEVERLY AVE, KINGMAN, AZ 86409-3631
(602) 253-1240
(602) 253-1250
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
OTC7588
AZ
Other
Enumeration date
04/26/2013
Last updated
12/05/2025
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