Organization
HUCKLEBERRY YOUTH PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN QUIGLEY (ASSOCIATE EXECUTIVE DIRECTOR)
(415) 258-4944
Entity
Organization
Contact information
Practice address
361 3RD STREET, SUITE G, SAN RAFAEL, CA 94901
(415) 258-4944
Mailing address
361 3RD STREET, SUITE G, SAN RAFAEL, CA 94901
(415) 258-4944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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