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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