Organization
SIERRA WALDEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WOOD (C.F.O.)
(301) 997-1300
Entity
Organization
Contact information
Practice address
305 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3139
(301) 997-1300
(301) 863-4744
Mailing address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
(301) 863-4744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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