Huckleberry Youth Programs
NPI #1710298880 in San Rafael, California
Provider Information
- NPI Number
- 1710298880
- Entity Type
- Organization
- Organization Name
- Huckleberry Youth Programs
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 23, 2010
- Last Updated
- Jun 23, 2010
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
- SUSAN QUIGLEY
- Title
- ASSOCIATE EXECUTIVE DIRECTOR
- Phone
- (415) 258-4944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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