Organization
WALDEN BEHAVIORAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART KOMAN PHD (PRESIDENT CEO)
(781) 647-2929
Entity
Organization
Contact information
Practice address
10 CAREMATRIX DR, DEDHAM, MA 02026-6149
(781) 647-6700
(781) 647-6755
Mailing address
51 SAWYER RD STE 510, WALTHAM, MA 02453-3448
(781) 647-6705
(781) 647-6755
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
679
MA
283Q00000X
Psychiatric Hospital
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027437B
—
MA
Enumeration date
02/10/2006
Last updated
05/27/2021
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