# EDGEWOOD CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568742823
- **Authorized official:** MISS THERESA DARNALE RAY (CCW)
- **Authorized official phone:** (415) 681-3211

## Contact information

- **Practice address:** 1801 VICENTE AVE, SAN FRANCISCO, CA 94116
- **Practice address phone:** (415) 682-3211
- **Mailing address:** 1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
- **Mailing address phone:** (415) 681-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 08/18/2011