Organization
BUCKELEW PROGRAMS
Active
Other names
Buckelew Programs - RSS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS KUGHN LMFT (CEO)
(415) 457-6964
Entity
Organization
Contact information
Practice address
201 ALAMEDA DEL PRADO STE 201, NOVATO, CA 94949-6698
(415) 246-4671
Mailing address
201 ALAMEDA DEL PRADO STE 103, NOVATO, CA 94949-6698
(415) 457-6964
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
03/04/2024
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