Organization
HELEN VINE RECOVERY CENTER
Active
Parent organization
BUCKELEW PROGRAMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUCKELEW PROGRAMS
Authorized official
JOHN CHRISTOPHER KUGHN LMFT (CEO)
(415) 457-6964
Entity
Organization
Contact information
Practice address
291 SMITH RANCH RD, SAN RAFAEL, CA 94903-5551
(415) 492-0818
Mailing address
201 ALAMEDA DEL PRADO STE 103, NOVATO, CA 94949-6698
(415) 457-6964
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
210017DN
CA
Other
Enumeration date
01/26/2015
Last updated
03/04/2024
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