IndividualActive
Diane Macon
NPI 1003982703 · Child Mental Illness Respite Care · Phoenix, AZ
Provider details
- NPI number
- 1003982703
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3870 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
1910 E Mobile Ln
Phoenix, AZ 85040-2439
Phone: (602) 268-4333
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8552
Phoenix, AZ 85066
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.