IndividualActive
Donald Land
NPI 1871789651 · Child Mental Illness Respite Care · Phoenix, AZ
Provider details
- NPI number
- 1871789651
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
- License
- 317334 (AZ)
Specialties & taxonomies
Respite Care Facility
Practice location
2560 E Mobile Ln
Phoenix, AZ 85040-2644
Phone: (602) 283-4303
Approximate (ZIP-level) locationGet directions
Mailing address
2560 E Mobile Ln
Phoenix, AZ 85040-2644
Registry dates
- Enumerated
- 2007-09-14
- Last updated
- 2007-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.