Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randy Bland

Individual provider Child Mental Illness Respite Care · NPI 1700423902

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 Rd
Goodyear, AZ 85395
Phone: (480) 334-2092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Mental Illness Respite Care (primary) Taxonomy 385HR2055X · Licence 10126301 (AZ)

Record details

NPI number1700423902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 6, 2019
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing addressIntermountain Centers For Human Development Inc., Po Box 86537, Tucson, AZ 85754-6537

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