| NPI | 1336800341 |
|---|---|
| Doing Business As | MIKID |
| Entity Type | Organization |
| Authorized Contact | JEFF KAZMIERCZAK CEO 602-253-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2024-08-14 |