Mikid, Mentally Ill Kids In Distress in Phoenix - Voluntary Or Charitable
Mikid, Mentally Ill Kids In Distress - NPI 1922036599
Mikid, Mentally Ill Kids In Distress is a Voluntary Or Charitable in Phoenix, Arizona. Mikid, Mentally Ill Kids In Distress practices all healthcare services and medical treatments related to Voluntary Or Charitable. The NPI Number for Mikid, Mentally Ill Kids In Distress is 1922036599. The last update date is 2020-08-22.
Mikid, Mentally Ill Kids In Distress's current location address is 755 E Willetta St, Phoenix, Arizona. You can contact this provider via phone number 6022531240 and fax number 6022531250. The mailing address for Mikid, Mentally Ill Kids In Distress is 755 E Willetta St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mikid, Mentally Ill Kids In Distress |
|---|---|
| Address | 755 E Willetta St, Phoenix, Arizona |
| Phone Number | 6022531240 |
| Fax Number | 6022531250 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Johnson Lynn Vicki |
| Credentials | M.A. |
| Telephone Number | 6022531240 |
NPI Number Detail
| NPI Number | 1922036599 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 755 E Willetta St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850062723 |
| Phone Number | 6022531240 |
| Fax Number | 6022531250 |
Provider's Primary Taxonomy Detail
| Speciality | Voluntary Or Charitable |
|---|---|
| Taxonomy | 251V00000X |
| Licence No | CSA05VO0142 |
|
Definition: Nonprofit health or human services agency supported by charitable donations and volunteers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 757114 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mikid, Mentally Ill Kids In Distress by the Centers for Medicare & Medicaid Services (CMS)?
The Mikid, Mentally Ill Kids In Distress has been assigned the NPI (National Provider Identifier) 1922036599. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mikid, Mentally Ill Kids In Distress's facilities are situated?
The facilities of Mikid, Mentally Ill Kids In Distress are physically located at the following address: 755 E Willetta St, Phoenix, AZ, 850062723.
What is Mikid, Mentally Ill Kids In Distress's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mikid, Mentally Ill Kids In Distress's specialized field of practice is Voluntary Or Charitable, and the corresponding taxonomy code that categorizes this area of specialization is 251V00000X.
When did Mikid, Mentally Ill Kids In Distress receive its 1922036599 assignment?
The Mikid, Mentally Ill Kids In Distress was assigned its 1922036599 on 2006-06-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mikid, Mentally Ill Kids In Distress most recently updated?
The details pertaining to the Mikid, Mentally Ill Kids In Distress, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.