BUCKELEW PROGRAM is a mental health counselor in San Rafael, CA. BUCKELEW PROGRAM NPI is 1649587874. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
900 5TH AVE
SAN RAFAEL, CA
ZIP 94901-959
Phone: (415) 457-6964
The provider's authorized official is Katy Spense .
The authorized official title is Senior Site Manager and has the following contact phone number (415) 457-6964.
The enumeration date for this NPI number is 9/9/2010 and was last updated on 9/9/2010.