NPI 1174132807
Harvest Safe Haven for Boys
Practice location
- Address
- 5425 Sierra Vista Ave, Riverside, CA 92505-3113
- Phone
- (951) 715-3126
- Fax
- (951) 531-8605
- Mailing address
- 3380 La Sierra Ave STE 104-242, Riverside, CA 92503-5271
Authorised official
- Name
- Daniel Park
- Title
- Executive Director
- Phone
- (951) 295-8239
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1174132807
- Entity type
- Organization
- NPI issued
- 28 Jul 2020
- Record last updated
- 28 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.