# BUCKELEW PROGRAMS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831369560
- **Authorized official:** MIRIAM ALONDRA LOZANO (COUNSLOR)
- **Authorized official phone:** (415) 457-1925

## Contact information

- **Practice address:** 914 MISSION AVE, SAN RAFAEL, CA 94901-6106
- **Practice address phone:** (415) 457-1925
- **Mailing address:** 914 MISSION AVE, SAN RAFAEL, CA 94901-6106
- **Mailing address phone:** (415) 457-1925

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/10/2008
