Organization
MENTALLY ILL KIDS IN DISTRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT AUNA BHT (CEO)
(602) 253-1240
Entity
Organization
Contact information
Practice address
1777 N FRANK REED RD, SUITE 1 & 2, NOGALES, AZ 85621-4031
(602) 253-1240
Mailing address
7816 N 19TH AVE, PHOENIX, AZ 85021-7036
(602) 253-1240
(602) 840-3409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC7759
AZ
Other
Enumeration date
08/30/2016
Last updated
12/05/2025
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