Huckleberry Youth Program
Huckleberry Youth Program is a Community/Behavioral Health Agency in San Rafael, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
361 3rd St Ste GSan Rafael, CA 94901-3580
Phone: (415) 258-4944
Fax: (415) 258-4943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1538429501 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Styles — Executive Director · (415) 668-2622 |
| NPI enumerated | May 23, 2012 |
| Last updated in NPPES | September 16, 2022 |
| Certification date | September 16, 2022 |
| Mailing address | 361 3rd St Ste G, San Rafael, CA 94901-3580 |
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