# KENNEDY AUSTIN FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841168424
- **Authorized official:** ETHEL M GARDNER (C.E.O)
- **Authorized official phone:** (951) 475-0742

## Contact information

- **Practice address:** 2040 N GAREY AVE, POMONA, CA 91767-2722
- **Practice address phone:** (909) 808-6866
- **Mailing address:** PO BOX 1013, POMONA, CA 91769-1013
- **Mailing address phone:** (951) 475-0742
- **Mailing address fax:** (951) 475-0742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 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