Individual provider · Type 1 NPI

Ann Marie Monica Clark

Assisted Living Facility (Mental Illness) · San Bernardino, CA

NPI number 1962945675 Active

Practice location

3524 Acacia Avenue
San Bernardino, CA 92405

Mailing address

1651 N. Riverside Ave, #124
Rialto, CA 92376

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone listed

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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About NPI 1962945675

Ann Marie Monica Clark's National Provider Identifier is 1962945675, issued on Nov 29, 2016. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in San Bernardino, CA. The record was last updated on Nov 29, 2016.