Nine Grove Lane

LBN: Huckleberry Youth Programs
Nine Grove Lane is an health care organization with primary practice located at 9 Grove Ln , San Anselmo CA 94960-2102. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Huckleberry Youth Programs can be contacted via phone (415) 453-5200, or through Price, Virginia via phone (415) 668-2622.

Contact Information

Primary practice address
9 Grove Ln San Anselmo CA 94960-2102
Phone: (415) 453-5200
Fax: (415) 453-8418
Website:
Map and Directions
Authorized official contact:
Name: Price, Virginia
Phone: (415) 668-2622

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 210102876 California

Profile Details

NPI number 1609065523
LBN Legal business name Huckleberry Youth Programs
DBA Doing business as Nine Grove Lane
Authorized official Price, Virginia
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2007
Last updated Jun 17th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609065523 NPPES
California MEDICAID 0000021A1C

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