Randy Bland
Randy Bland is a Child Mental Illness Respite Care in Goodyear, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2019
Practice location Address checks out
14047 W Monte Vista RdGoodyear, AZ 85395
Phone: (480) 334-2092
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Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X · Licence 10126301 (AZ) |
|---|
Record details
| NPI number | 1700423902 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2019 |
| Last updated in NPPES | June 29, 2021 |
| Certification date | June 29, 2021 |
| Mailing address | Intermountain Centers For Human Development Inc., Po Box 86537, Tucson, AZ 85754-6537 |
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