Organization
WALDEN SIERRA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WOOD (CFO)
(301) 997-1300
Entity
Organization
Contact information
Practice address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(866) 239-0826
Mailing address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
904527
MD
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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