Edgewood Center for Children and Families

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EDGEWOOD CENTER FOR CHILDREN AND FAMILIES

Practice address

131 Sears St
San Francisco, CA 94112-4029

Phone

(949) 400-4573

NPI assigned

Dec 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jacob Cayden Dillon, BA

Title

Residential Counselor

Phone

(949) 400-4573

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1861638652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SEARS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124029",
            "telephone_number": "949-400-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SEARS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124029",
            "telephone_number": "949-400-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CENTER FOR CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "CAYDEN",
        "authorized_official_title_or_position": "RESIDENTIAL COUNSELOR",
        "authorized_official_telephone_number": "949-400-4573",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.