Clark Children And Family Services
Foster Care Agency in Cedar Rapids, IA. Organization (NPI-2).
NPI number1164035325
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1164035325
- Entity type
- Organization (NPI-2)
- Legal business name
- Clark Children And Family Services
- Organization subpart
- No
- Enumeration date
- Aug 27, 2020
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | – | Yes |
| 251300000X | Local Education Agency (LEA) | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 311Z00000X | Custodial Care Facility | – | – |
Practice location
633 Ashford Dr NeCedar Rapids, IA 52402-7338
Phone 319-431-5145
Mailing address
633 Ashford Dr NeCedar Rapids, IA 52402-7338
Phone 319-431-5145
Authorized official
Monique Clark
Ceo
3194315145
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