Kesewa Safe Haven

NPI #1346932555 in Rialto, California

Provider Information

NPI Number
1346932555
Entity Type
Organization
Organization Name
Kesewa Safe Haven
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 24, 2023
Last Updated
May 24, 2023

Practice Location

Address
229 S RIVERSIDE AVE
City
Rialto
ZIP Code
92376-6467
Phone
(190) 999-7586

Authorized Official

Name
MR. NANA A BAMFO, LMFT
Title
LICENSED MARRIAGE THERAPIST
Phone
(909) 997-5863

Specialties & Taxonomy Codes

Specialty
Case Management
Public Health or Welfare
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Early Intervention Provider Agency
Clinic/Center
Community/Behavioral Health

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Provider Name
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