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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