| NPI | 1154179042 |
|---|---|
| Other Name | BUCKELEW TAMAYO VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER KUGHN CEO 415-457-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-21 |