| Ark Homes Foster Family Agency | |
|
9631 Business Center Dr. Bldg. 14, Ste. D Rancho Cucamonga CA 91730-4545 | |
| (909) 948-5747 | |
| Not Available |
| Full Name | Ark Homes Foster Family Agency |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9631 Business Center Dr., Rancho Cucamonga, California |
| Authorized Official Name and Position | David Kenneth Mathias (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9099485747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ark Homes Foster Family Agency 9645 Arrow Rte. Bldg. 5, Ste. A Rancho Cucamonga CA 91730-4554 Ph: (909) 948-5747 | Ark Homes Foster Family Agency 9631 Business Center Dr. Bldg. 14, Ste. D Rancho Cucamonga CA 91730-4545 Ph: (909) 948-5747 |
| NPI Number | 1184384216 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184384216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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