NPI 1376404756

Buckelew Programs

Organisation Substance Abuse Rehabilitation Facility San Rafael, CA

Practice location

Address: 30 Joseph CT, San Rafael, CA 94903-2664
Phone: (415) 457-6961

Authorised official

Name: J. Chris Kughn
Title: Ceo
Phone: (415) 457-6961

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1376404756
Entity type: Organization
NPI issued: 24 Nov 2025
Record last updated: 24 Nov 2025

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.