Organization
BUCKELEW PROGRAMS
Active
Other names
Buckelew Programs Sonoma County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS KUGHN MSW (CHIEF EXECUTIVE OFFICER)
(415) 720-4197
Entity
Organization
Contact information
Practice address
2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407-5472
(707) 571-5581
(707) 571-5531
Mailing address
2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407-5472
(707) 571-5581
(707) 571-5531
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
11/30/2023
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