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Objects / Healthcare Organization

Healthcare Organization Stored source record

HUCKLEBERRY YOUTH PROGRAMS, INC

361 3RD STREET, SUITE G, SAN RAFAEL, CA, 94901

atlas:atm_npi_1003953100

Block 4011Block Group 4Census Tract 1101Marin CountyCaliforniaUnited States

What is stored

phone
415-258-4944
status
A
address
361 3RD STREET, SUITE G, SAN RAFAEL, CA, 94901
fax
415-258-4943
npi
1003953100
taxonomy
Public Health or Welfare
other names
[]
last updated
2022-09-16
taxonomy code
251K00000X
all taxonomies
["Community/Behavioral Health","Public Health or Welfare"]
enumeration date
2007-01-30
enumeration type
NPI-2
practice locations
0
authorized official
DOUGLAS STYLES
organizational subpart
NO

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Read fact fields
{
  "fax": "415-258-4943",
  "npi": "1003953100",
  "phone": "415-258-4944",
  "status": "A",
  "address": "361 3RD STREET, SUITE G, SAN RAFAEL, CA, 94901",
  "license": null,
  "taxonomy": "Public Health or Welfare",
  "other_names": [],
  "last_updated": "2022-09-16",
  "license_state": null,
  "taxonomy_code": "251K00000X",
  "all_taxonomies": [
    "Community/Behavioral Health",
    "Public Health or Welfare"
  ],
  "enumeration_date": "2007-01-30",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "DOUGLAS STYLES",
  "organizational_subpart": "NO"
}