Mentally Ill Kids in Distress
Mentally Ill Kids in Distress is a Community/Behavioral Health Agency in Pueblo, Colorado. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
115 E Riverwalk Unit 110Pueblo, CO 81003-3308
Phone: (602) 252-1240
Fax: (602) 840-3409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1336800341 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeff Kazmierczak — Ceo · (602) 253-1240 |
| Other names | Mikid; Mikid |
| NPI enumerated | January 3, 2022 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 14, 2024 |
| Mailing address | 7816 N 19th Ave, Phoenix, AZ 85021-7036 |
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