| Huckleberry Youth Programs | |
|
361 3rd Street Suite G San Rafael CA 94901 | |
| (415) 258-4944 | |
| Not Available |
| Full Name | Huckleberry Youth Programs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 361 3rd Street, San Rafael, California |
| Authorized Official Name and Position | Susan Quigley (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4152584944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huckleberry Youth Programs 361 3rd Street Suite G San Rafael CA 94901 Ph: (415) 258-4944 | Huckleberry Youth Programs 361 3rd Street Suite G San Rafael CA 94901 Ph: (415) 258-4944 |
| NPI Number | 1710298880 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710298880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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