| Mikid, Mentally Ill Kids In Distress | |
|
365 Short St Sierra Vista AZ 85635-1918 | |
| (928) 333-4330 | |
| (602) 840-3409 |
| Full Name | Mikid, Mentally Ill Kids In Distress |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 365 Short St, Sierra Vista, Arizona |
| Authorized Official Name and Position | Akia Compton (VICE PRESIDENT) |
| Authorized Official Contact | 6022531240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikid, Mentally Ill Kids In Distress 2642 E Thomas Rd Phoenix AZ 85016-8202 Ph: (602) 253-1240 | Mikid, Mentally Ill Kids In Distress 365 Short St Sierra Vista AZ 85635-1918 Ph: (928) 333-4330 |
| NPI Number | 1144554197 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144554197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Primary |
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