Mikid Mentally Ill Kids In Distress
Community/Behavioral Health in Casa Grande, AZ. Organization (NPI-2).
NPI number1407257595
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1407257595
- Entity type
- Organization (NPI-2)
- Legal business name
- Mikid Mentally Ill Kids In Distress
- Organization subpart
- No
- Enumeration date
- Sep 9, 2014
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | OTC8547 | AZ | Yes |
Practice location
901 E Cottonwood Ln Ste AbCasa Grande, AZ 85122-2221
Phone 520-509-6669
Mailing address
7816 N 19th AvePhoenix, AZ 85021-7036
Phone 602-253-1240
Authorized official
Matt Auna
Chief Executive Officer
6022531240
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All 32 Community/Behavioral Health Agency providers in Casa Grande · All 1,403 providers in Casa Grande
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