Organization
ARK HOMES FOSTER FAMILY AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KENNETH MATHIAS MA (CHIEF EXECUTIVE OFFICER)
(909) 948-5747
Entity
Organization
Contact information
Practice address
9645 ARROW ROUTE, BLDG. 5, STE. A, RANCHO CUCAMONGA, CA 91730-4554
(909) 948-5747
Mailing address
9645 ARROW ROUTE, BLDG. 5, STE. A, RANCHO CUCAMONGA, CA 91730-4554
(909) 948-5747
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
366423827
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
06/25/2018
Last updated
06/02/2025
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