Organization
WALDEN SIERRA, INC. - COMPASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D WOOD (FINANCE DIRECTOR)
(301) 997-1300
Entity
Organization
Contact information
Practice address
44863 ST ANDREWS CHURCH ROAD, CALIFORNIA, MD 20619
(301) 862-4212
Mailing address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
(301) 997-1321
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
100902
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012240802
—
MD
05
—
745188100
—
MD
Enumeration date
02/07/2006
Last updated
11/20/2012
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