BUCKELEW PROGRAMS
NPI 1922334622
Community Based Residential Treatment Facility, Mental Illness in San Rafael, CA

Q: What is the provider's specialty?

The provider's specialty is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since October 30, 2009

914 MISSION AVE, SAN RAFAEL, CA 94901(415) 457-6964 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Buckelew Programs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKELEW PROGRAMS (NPI 1922334622) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Rafael, California and active in the NPI registry since October 2009. The organization lists John P Whitty, Site Director, as its authorized official.

NPPES Registry Identity

NPI1922334622

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameBUCKELEW PROGRAMS

Location Address914 MISSION AVESan Rafael, CA 94901-6106

Mailing Address1109 Sir Francis Drake BlvdKentfield, CA 94904 · (415) 459-6965

Phone(415) 457-6964

Organization SubpartNo

Authorized OfficialJohn P WhittySite Director · (415) 459-6965

Enumeration DateOctober 30, 2009

✔ NPI 1922334622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

914 MISSION AVE, San Rafael, CA 94901

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