| Buckelew Programs | |
|
201 Alameda Del Prado Ste 103 Novato CA 94949-6698 | |
| (415) 457-6964 | |
| Not Available |
| Full Name | Buckelew Programs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Alameda Del Prado Ste 103, Novato, California |
| Authorized Official Name and Position | John Christopher Kughn (CEO) |
| Authorized Official Contact | 4154576966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckelew Programs 201 Alameda Del Prado Ste 103 Novato CA 94949-6698 Ph: (415) 457-6964 | Buckelew Programs 201 Alameda Del Prado Ste 103 Novato CA 94949-6698 Ph: (415) 457-6964 |
| NPI Number | 1972993616 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972993616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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