Healthcare Provider Details

I. General information

NPI: 1427962539
Provider Name (Legal Business Name): THE BOXY FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21020 NORTH DR
NUEVO CA
92567-9571
US

IV. Provider business mailing address

PO BOX 13
NUEVO CA
92567-0013
US

V. Phone/Fax

Practice location:
  • Phone: 951-505-8517
  • Fax:
Mailing address:
  • Phone: 951-505-8517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: KARINA EILEEN HALLINAN
Title or Position: PRESIDENT
Credential: ASW
Phone: 951-505-8517