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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NPI Details

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 Douglas Styles .
The authorized official title is Executive Director and has the following contact phone number (415) 668-2622.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 9/16/2022.

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
1251S00000XCommunity/Behavioral HealthNo
2251K00000XPublic Health or WelfareYes

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: 3/30/2025

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