NPI 1003953100
Huckleberry Youth Programs, INC
Practice location
- Address
- 361 3rd Street Suite G, San Rafael, CA 94901
- Phone
- (415) 258-4944
- Fax
- (415) 258-4943
Authorised official
- Name
- Douglas Styles
- Title
- Executive Director
- Phone
- (415) 668-2622
Registered specialties (2)
Public Health or Welfare Agency
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1003953100
- Entity type
- Organization
- NPI issued
- 30 Jan 2007
- Record last updated
- 16 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.