Organization
BUCKELEW PROGRAMS
Active
Parent organization
BUCKELEW PROGRAMS
Other names
Athena House, Buckelew Orenda Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUCKELEW PROGRAMS
Authorized official
JOHN CHRISTOPHER KUGHN LMFT (CEO)
(415) 457-6966
Entity
Organization
Contact information
Practice address
1430 NEOTOMAS AVE, SANTA ROSA, CA 95405-7575
(707) 565-7450
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
—
—
Other
Enumeration date
07/19/2023
Last updated
03/04/2024
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