Huckleberry Youth Program
NPI #1538429501 in San Rafael, California
Provider Information
- NPI Number
- 1538429501
- Entity Type
- Organization
- Organization Name
- Huckleberry Youth Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 23, 2012
- Last Updated
- Sep 16, 2022
Practice Location
- Address
- 361 3RD ST STE G
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-3580
- Phone
- (415) 258-4944
Authorized Official
- Name
- DR. DOUGLAS STYLES, PSYD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 668-2622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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