Organization
BUCKELEW PROGRAMS
Active
Other names
Buckelew Programs
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KUGHN LMFT (CEO)
(415) 457-6964
Entity
Organization
Contact information
Practice address
1109 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 256-9995
(415) 256-9998
Mailing address
201 ALAMEDA DEL PRADO STE 103, NOVATO, CA 94949-6698
(415) 302-1423
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
216803488
CA
Other
Enumeration date
12/10/2013
Last updated
03/04/2024
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