Huckleberry Youth Programs, Inc in San Rafael - Community/behavioral Health
Huckleberry Youth Programs, Inc - NPI 1003953100
Huckleberry Youth Programs, Inc is a Community/behavioral Health in San Rafael, California. Huckleberry Youth Programs, Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Huckleberry Youth Programs, Inc is 1003953100. The last update date is 2022-09-16.
Huckleberry Youth Programs, Inc's current location address is 361 3rd Street, San Rafael, California. You can contact this provider via phone number 4152584944 and fax number 4152584943. The mailing address for Huckleberry Youth Programs, Inc is 361 3rd Street, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Huckleberry Youth Programs, Inc |
|---|---|
| Address | 361 3rd Street, San Rafael, California |
| Phone Number | 4152584944 |
| Fax Number | 4152584943 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Styles Douglas |
| Credentials | PSYD |
| Telephone Number | 4156682622 |
NPI Number Detail
| NPI Number | 1003953100 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2022-09-16 |
Provider Mailing Address Detail
| Address | 361 3rd Street |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 94901 |
| Phone Number | 4152584944 |
| Fax Number | 4152584943 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code issued to Huckleberry Youth Programs, Inc by the Centers for Medicare & Medicaid Services?
The Huckleberry Youth Programs, Inc has been assigned the NPI (National Provider Identifier) 1003953100 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Huckleberry Youth Programs, Inc located?
The Huckleberry Youth Programs, Inc is located at 361 3Rd Street, San Rafael, CA 94901.
What is Huckleberry Youth Programs, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Huckleberry Youth Programs, Inc is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
When was the Huckleberry Youth Programs, Inc's 1003953100 issued?
The Huckleberry Youth Programs, Inc's 1003953100 was issued on 2007-01-30.
When was the information regarding Huckleberry Youth Programs, Inc most recently updated?
The details pertaining to the Huckleberry Youth Programs, Inc, including its address, specialty, and other relevant information, were last refreshed on 2022-09-16.
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