Organization
BUCKELEW PROGRAMS
Active
Parent organization
BUCKELEW PROGRAMS
Other names
Buckelew Community Response Team
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
2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407-5472
(707) 780-7239
Mailing address
2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407-5472
(707) 780-7239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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