Organization
BUCKELEW PROGRAMS
Active
Parent organization
BUCKELEW PROGRAMS
Other names
Athena House
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
540 MIDDLE RINCON RD, SANTA ROSA, CA 95409-3107
(707) 909-0168
Mailing address
201 ALAMEDA DEL PRADO STE 103, NOVATO, CA 94949-6698
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
06/05/2025
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