IndividualActive
Daniel Anderson
NPI 1700953197 · Child Mental Illness Respite Care · Phoenix, AZ
Provider details
- NPI number
- 1700953197
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10031 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
12452 N 36th Dr
Phoenix, AZ 85029-2103
Phone: (602) 863-2981
Approximate (ZIP-level) locationGet directions
Mailing address
12452 N 36th Dr
Phoenix, AZ 85029-2103
Registry dates
- Enumerated
- 2006-11-29
- 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.