Huckleberry Youth Program

LBN: Huckleberry Youth Program
Huckleberry Youth Program is an health care organization with primary practice located at 361 3Rd St Ste G , San Rafael CA 94901-3580. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Huckleberry Youth Program can be contacted via phone (415) 258-4944, or through Styles, Douglas via phone (415) 668-2622.

Contact Information

Primary practice address
361 3Rd St Ste G San Rafael CA 94901-3580
Phone: (415) 258-4944
Fax: (415) 258-4943
Website:
Map and Directions
Authorized official contact:
Name: Styles, Douglas PSYD
Phone: (415) 668-2622

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1538429501
LBN Legal business name Huckleberry Youth Program
DBA Doing business as
Authorized official Styles, Douglas PSYD
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2012
Last updated Sep 16th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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