HUCKLEBERRY YOUTH PROGRAMS INC. NPI 1003953100

NPI Information

NPI: 1003953100
Provider Name: HUCKLEBERRY YOUTH PROGRAMS INC.
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
361 3RD STREET
SUITE G
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 258-4944
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HUCKLEBERRY YOUTH PROGRAMS INC. is a public health or welfare in San Rafael, CA. HUCKLEBERRY YOUTH PROGRAMS INC. NPI is 1003953100. The provider is registered as an organization entity type.

The provider's business location address is:

361 3RD STREET
SUITE G
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 258-4944
Fax: (415) 258-4943

The provider's authorized official is Jasmine Flora Stevenson .
The authorized official title is Associate Executive Director and has the following contact phone number (415) 258-4944.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 4/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	251K00000X	Public Health or Welfare				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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