| Mikid, Mentally Ill Kids In Distress | |
|
100 E 24th St Yuma AZ 85364-8619 | |
| (928) 726-2191 | |
| (928) 726-4052 |
| Full Name | Mikid, Mentally Ill Kids In Distress |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 E 24th St, Yuma, Arizona |
| Authorized Official Name and Position | Vicki L. Johnson (EXECUTIVE DIRECTOR) |
| 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 100 E 24th St Yuma AZ 85364-8619 Ph: (928) 726-2191 |
| NPI Number | 1801026539 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801026539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA09ADHS0142 -2 (Arizona) | Primary |
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