Provider Demographics
NPI:1578367835
Name:GARDEN OF FRIENDS FOUNDATION
Entity type:Organization
Organization Name:GARDEN OF FRIENDS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAIWO
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUSAMI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:951-772-6145
Mailing Address - Street 1:26960 CHERRY HILLS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-2512
Mailing Address - Country:US
Mailing Address - Phone:951-772-6145
Mailing Address - Fax:
Practice Address - Street 1:26960 CHERRY HILLS BLVD STE B
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-2512
Practice Address - Country:US
Practice Address - Phone:951-772-6145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health