Buckelew Programs - Tay

NPI 1356496897 - Case Management - 251B00000X

NPI Details
NPI 1356496897
Enumeration Date 01/24/2007
Last Updated 12/09/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CLAIRE CLAIRE
Position PROGRAM DIRECTOR
Phone (415) 460-2167
Fax
Practice Location
980 LINCOLN AVE
SUITE 250
SAN RAFAEL CA, 94901-8801, US
Phone (415) 460-2167
Fax
Business Location
980 LINCOLN AVE
SUITE 250
SAN RAFAEL CA, 94901-8801, US
Phone (415) 460-2167
Fax
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Buckelew Programs - Tay NPI is 1356496897, taxonomy code is 251B00000X Buckelew Programs - Tay physically located at 980 Lincoln Ave, San Rafael CA, 94901-8801. NPI Number 1033115704 has the healthcare provider type.

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1356496897 NPI number is provided on an as is basis without warranty of any kind. 1356496897 is maintained by the National Plan & Provider Enumeration System. The contents of Buckelew Programs - Tay are for informational purposes only.