| NPI | 1902116312 |
|---|---|
| Doing Business As | MIKID |
| Entity Type | Organization |
| Authorized Contact | JEFF KAZMIERCZAK CEO 602-253-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2025-06-16 |