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Organization
EDGEWOOD CENTER
Active
Organization
EDGEWOOD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THERESA DARNALE RAY (CCW)
(415) 681-3211
Entity
Organization
Contact information
Practice address
1801 VICENTE AVE, SAN FRANCISCO, CA 94116
(415) 682-3211
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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