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Organization

CLARK CHILDREN AND FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONIQUE CLARK (CEO)
(319) 431-5145
Entity
Organization

Contact information

Practice address
633 ASHFORD DR NE, CEDAR RAPIDS, IA 52402-7338
(319) 431-5145
Mailing address
633 ASHFORD DR NE, CEDAR RAPIDS, IA 52402-7338
(319) 431-5145

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
253J00000X
Foster Care Agency
Primary
311Z00000X
Custodial Care Facility

Other

Enumeration date
08/27/2020
Last updated
09/14/2020
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