Organization · NPI-2

Harvest Safe Haven For Boys

Residential Treatment Facility, Emotionally Disturbed Children · Riverside, CA

NPI number1649108903
StatusActive
Last updated in NPPESMay 8, 2026

Details

NPI
1649108903
Entity type
Organization (NPI-2)
Legal business name
Harvest Safe Haven For Boys
Organization subpart
Yes
Enumeration date
May 8, 2026
Certification date
May 8, 2026
Last updated
May 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed Children––Yes

Practice location

8905 Driftwood Dr
Riverside, CA 92503-2120

Phone 951-715-3126

Mailing address

3380 La Sierra Ave Ste 104-242
Riverside, CA 92503-5271

Phone 951-715-3126

Authorized official

Daniel Park
Ceo
9517153126

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