| Mikid Mentally Ill Kids In Distress | |
|
901 E Cottonwood Ln Ste Ab Casa Grande AZ 85122-2221 | |
| (520) 509-6669 | |
| Not Available |
| Full Name | Mikid Mentally Ill Kids In Distress |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 E Cottonwood Ln Ste Ab, Casa Grande, Arizona |
| Authorized Official Name and Position | Dick Geasland (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6022531240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikid Mentally Ill Kids In Distress 7816 N 19th Ave Phoenix AZ 85021-7036 Ph: (602) 253-1240 | Mikid Mentally Ill Kids In Distress 901 E Cottonwood Ln Ste Ab Casa Grande AZ 85122-2221 Ph: (520) 509-6669 |
| NPI Number | 1407257595 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 11/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407257595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC8547 (Arizona) | Primary |
Casa Grande Inpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 E Cottonwood Ln Ste 140, Casa Grande, AZ 85122 Phone: 520-426-0088 Fax: 480-775-2420 | |
Intermountain Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122 Phone: 520-426-4289 Fax: 520-421-0792 | |
Higher Heights Human Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 W Cottonwood Ln Ste 5-6, Casa Grande, AZ 85122 Phone: 702-772-5488 | |
Horizon Human Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N. Arizola Rd, Casa Grande, AZ 85222 Phone: 520-421-2543 Fax: 520-421-1032 | |
Blue Bell Management Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 1st St, Casa Grande, AZ 85122 Phone: 520-463-3911 | |
Sun Life Family Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 Fax: 520-836-8807 | |
Building Overcomers Wellness Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 N Trekell Rd, Casa Grande, AZ 85122 Phone: 623-522-2693 |