Organization
WALDEN SIERRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WOOD (FINANCE DIRECTOR)
(301) 997-1300
Entity
Organization
Contact information
Practice address
305 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3139
(888) 912-7366
Mailing address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5867
MD
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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