# BUCKELEW PROGRAMS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Buckelew Programs Sonoma County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518012020
- **Authorized official:** MR. CHRIS KUGHN MSW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (415) 720-4197

## Contact information

- **Practice address:** 2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407-5472
- **Practice address phone:** (707) 571-5581
- **Practice address fax:** (707) 571-5531
- **Mailing address:** 2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407-5472
- **Mailing address phone:** (707) 571-5581
- **Mailing address fax:** (707) 571-5531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 11/30/2023