Organization
BUCKELEW PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM ALONDRA LOZANO (COUNSLOR)
(415) 457-1925
Entity
Organization
Contact information
Practice address
914 MISSION AVE, SAN RAFAEL, CA 94901-6106
(415) 457-1925
Mailing address
914 MISSION AVE, SAN RAFAEL, CA 94901-6106
(415) 457-1925
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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