Organization · Type 2 NPI
Keshawan Sampath Inc.
Mental Illness Community Based Residential Treatment Facility · Moreno Valley, CA
NPI number
1649067455
Active
Practice location
12968 Frederick St Ste B
Moreno Valley, CA 92553-5229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Moreno Valley
About NPI 1649067455
Keshawan Sampath Inc.'s National Provider Identifier is 1649067455, issued on Apr 23, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Moreno Valley, CA. The record was last updated on Dec 29, 2025.