Huckleberry Youth Programs, INC
NPI #1003953100 in San Rafael, California
Provider Information
- NPI Number
- 1003953100
- Entity Type
- Organization
- Organization Name
- Huckleberry Youth Programs, INC
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Sep 16, 2022
Practice Location
- Address
- 361 3RD STREET
- Address 2
- SUITE G
- City
- San Rafael
- State
- California
- ZIP Code
- 94901
- Phone
- (415) 258-4944
Authorized Official
- Name
- DOUGLAS STYLES, PSYD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 668-2622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Public Health or Welfare |
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