| NPI | 1770883332 |
|---|---|
| Doing Business As | MIKID |
| Entity Type | Organization |
| Authorized Contact | JEFF KAZMIERCZAK CEO 480-414-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ application) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2025-02-11 |