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Rebecca Clark, FOSTERPARENT
Child Mental Illness Respite Care in Yuma, Arizona
NPI 1861557563

Rebecca Clark is a Child Mental Illness Respite Care based in Yuma, AZ and is specialized in Respite Care, Mental Illness, Child. Rebecca Clark practices in Yuma, AZ and has the professional credentials of FOSTERPARENT. The NPI Number for Rebecca Clark is 1861557563 and holds a License No. 11351 (Arizona).

The current practice location address for Rebecca Clark is 2703 S 37Th Dr, Yuma, AZ and can be reached out via phone at 928-726-1636.

Location: 2703 S 37Th Dr, Yuma, AZ, 85364-5983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861557563
Provider Name
Rebecca Clark
Credential
FOSTERPARENT
Provider Entity Type
Individual
Gender
Female
Address
2703 S 37Th Dr, Yuma, AZ, 85364-5983
Phone Number
928-726-1636
Fax Number
Provider Enumeration Date
12/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2703 S 37Th Dr
City
Yuma
State
Arizona
Zip
85364-5983
Phone Number
928-726-1636
Fax Number
person
Provider Business Mailing Address Details
Address
2703 S 37Th Dr
City
Yuma
State
Arizona
Zip
85364-5983
Phone Number
928-726-1636
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
11351 ()
Definition
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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