Individual provider · Type 1 NPI

Diane Macon

Child Mental Illness Respite Care · Phoenix, AZ

NPI number 1003982703 Active

Practice location

1910 E Mobile Ln
Phoenix, AZ 85040-2439

Call (602) 268-4333 Map

Mailing address

PO Box 8552
Phoenix, AZ 85066

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X3870 (AZ)

Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

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About NPI 1003982703

Diane Macon's National Provider Identifier is 1003982703, issued on Nov 27, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.