Individual provider · Type 1 NPI

Randy Bland

Child Mental Illness Respite Care · Goodyear, AZ

NPI number 1700423902 Active

Practice location

14047 W Monte Vista Rd
Goodyear, AZ 85395

Call (480) 334-2092 Map

Mailing address

Intermountain Centers For Human Development Inc., PO Box 86537
Tucson, AZ 85754-6537

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X10126301 (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 1700423902

Randy Bland's National Provider Identifier is 1700423902, issued on Dec 6, 2019. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Goodyear, AZ. The record was last updated on Jun 29, 2021.