Organization
EDGEWOOD CENTER FOR CHILDREN & FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA D RAY MBA/PA (CHILD CARE COUNSELOR)
(415) 994-7410
Entity
Organization
Contact information
Practice address
170 NORTHRIDGE DR, DALY CITY, CA 94015-4618
(415) 994-7410
Mailing address
170 NORTHRIDGE DR, DALY CITY, CA 94015-4618
(415) 994-7410
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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