Organization
EGEWOOD CENTER FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALOPE FATUNMISE MA (REGIONAL DIRECTOR)
(415) 375-7485
Entity
Organization
Contact information
Practice address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(415) 375-7585
Mailing address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(415) 375-7585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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