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Organization
KENNEDY AUSTIN FOUNDATION
Active
Organization
KENNEDY AUSTIN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL M GARDNER (C.E.O)
(951) 475-0742
Entity
Organization
Contact information
Practice address
2040 N GAREY AVE, POMONA, CA 91767-2722
(909) 808-6866
Mailing address
PO BOX 1013, POMONA, CA 91769-1013
(951) 475-0742
(951) 475-0742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
10/27/2025
Last updated
03/10/2026
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