Organization
EDGEWOOD SUITES
Active
Parent organization
CORDILLERAS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORDILLERAS
Authorized official
ANASTASIA BURTON (DIRECTOR OF RESIDENTIAL SUITES)
(650) 367-1890
Entity
Organization
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1980
(650) 369-6465
Mailing address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1980
(650) 369-6465
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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