| NPI | 1306281233 |
|---|---|
| Other Name | MIKID |
| Entity Type | Organization |
| Authorized Contact | DICK GEASLAND Chief Executive Officer 602-253-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH4218) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2016-05-16 |