EDGEWOOD is a residential treatment facility emotionally disturbed children in San Francisco, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. EDGEWOOD NPI is 1801056395. The provider is registered as an organization entity type.
The provider's business location address is:
1801 VICENTE ST
SAN FRANCISCO, CA
ZIP 94116-923
Phone: (415) 681-3211
Fax: (415) 375-7670
The provider's authorized official is Christopher Tyrone Tatum .
The authorized official title is Counselor and has the following contact phone number (451) 845-5073.
The CLIA number assigned to this NPI record is 05D2083312 - other - residential trt facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/10/2008.