Organization
THE EDGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA OCON (COO)
(949) 200-0491
Entity
Organization
Contact information
Practice address
525 CABRILLO PARK DR STE 100, SANTA ANA, CA 92701
(800) 778-1772
Mailing address
1217 LINDA LN, FULLERTON, CA 92831-2001
(949) 200-0491
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300669AP
CA
Other
Enumeration date
11/10/2016
Last updated
07/13/2018
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