| Walden Sierra Corp | |
|
85 High St Suite 4 Waldorf MD 20602-2150 | |
| (888) 912-7366 | |
| Not Available |
| Full Name | Walden Sierra Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 85 High St, Waldorf, Maryland |
| Authorized Official Name and Position | Charles Wood (CFO) |
| Authorized Official Contact | 3019971300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walden Sierra Corp 30007 Business Center Dr Charlotte Hall MD 20622-3101 Ph: (301) 997-1300 | Walden Sierra Corp 85 High St Suite 4 Waldorf MD 20602-2150 Ph: (888) 912-7366 |
| NPI Number | 1366869349 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366869349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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