Individual provider · Type 1 NPI

Rebecca Clark, FOSTER PARENT

Child Mental Illness Respite Care · Yuma, AZ

NPI number 1861557563 Active

Practice location

2703 S 37th Dr
Yuma, AZ 85364-5983

Call (928) 726-1636 Map

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care Primary 385HR2055X11351

Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

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About NPI 1861557563

Rebecca Clark, FOSTER PARENT's National Provider Identifier is 1861557563, issued on Dec 25, 2006. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Yuma, AZ. The record was last updated on Jul 8, 2007.