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MENTALLY ILL KIDS IN DISTRESS NPI 1306281233


NPI Information

NPI: 1306281233
Provider Name: MENTALLY ILL KIDS IN DISTRESS

Other Name: MIKID

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
7816 N 19TH AVE
PHOENIX, AZ
ZIP 85021
Phone: (602) 253-1240
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MENTALLY ILL KIDS IN DISTRESS is a community behavioral health in Phoenix, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MENTALLY ILL KIDS IN DISTRESS NPI is 1306281233. The provider is registered as an organization entity type.
The provider Other Name Is Mikid.

The provider's business location address is:

7816 N 19TH AVE
PHOENIX, AZ
ZIP 85021-036
Phone: (602) 253-1240

The provider's authorized official is Dick Geasland .
The authorized official title is Chief Executive Officer and has the following contact phone number (602) 253-1240.

The enumeration date for this NPI number is 5/6/2013 and was last updated on 5/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthBH4218ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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