| NPI | 1851735369 |
|---|---|
| Other Name | MIKID |
| Entity Type | Organization |
| Authorized Contact | JEFF KAZMIERCZAK CEO 480-414-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC7588) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2024-08-14 |