Organization
ARK HOMES FOSTER FAMILY AGENCY
Active
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)
—
—
Other
Enumeration date
06/25/2018
Last updated
06/02/2025
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