Organization
EDGEWOOD CENTER FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MADAUS (CEO)
(415) 681-3211
Entity
Organization
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
12/21/2011
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