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Organization

HARVEST SAFE HAVEN FOR BOYS

Active
Parent organization
HARVEST SAFE HAVEN FOR BOYS
Organization subpart
Yes

Provider details

NPI number
Legal business name
HARVEST SAFE HAVEN FOR BOYS
Authorized official
DANIEL PARK (CEO)
(951) 715-3126
Entity
Organization

Contact information

Practice address
8905 DRIFTWOOD DR, RIVERSIDE, CA 92503-2120
(951) 715-3126
Mailing address
3380 LA SIERRA AVE STE 104-242, RIVERSIDE, CA 92503-5271
(951) 715-3126

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
05/08/2026
Last updated
05/08/2026
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