Whalio Doctors

NPI 1174132807

Harvest Safe Haven for Boys

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Riverside, CA

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
Residential Treatment Facilities Taxonomy 322D00000X

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.