Organization · Type 2 NPI

Huckleberry Youth Programs

Community/Behavioral Health Agency · San Anselmo, CA

NPI number 1609065523 Active

Practice location

9 Grove Ln
San Anselmo, CA 94960-2102

Fax (415) 453-8418

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	210102876 (CA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1609065523
Entity type: Organization (Type 2)
Issued: Oct 16, 2007
Last updated: Jun 17, 2008
Status: Active
Subpart: Yes of Huckleberry Youth Programs

Other names

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Nine Grove Lane · other name

Authorized official

Virginia Price
Director of Programs and Operations
(415) 668-2622

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609065523

Huckleberry Youth Programs's National Provider Identifier is 1609065523, issued on Oct 16, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Anselmo, CA. The record was last updated on Jun 17, 2008.