Organization · Type 2 NPI

Huckleberry Youth Programs, Inc

Public Health or Welfare Agency · San Rafael, CA

NPI number 1003953100 Active

Practice location

361 3rd Street, Suite G
San Rafael, CA 94901

Fax (415) 258-4943

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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About NPI 1003953100

Huckleberry Youth Programs, Inc's National Provider Identifier is 1003953100, issued on Jan 30, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in San Rafael, CA. The record was last updated on Sep 16, 2022.