WALDEN SIERRA INC. NPI 1598735409

NPI Information

NPI: 1598735409
Provider Name: WALDEN SIERRA, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
26845 POINT LOOKOUT RD
LEONARDTOWN, MD
ZIP 20650
Phone: (301) 997-1300
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WALDEN SIERRA, INC. is a rehabilitation and substance use disorder clinic center in Leonardtown, MD. WALDEN SIERRA, INC. NPI is 1598735409. The provider is registered as an organization entity type.

The provider's business location address is:

26845 POINT LOOKOUT RD
LEONARDTOWN, MD
ZIP 20650-935
Phone: (301) 997-1300
Fax: (301) 997-1321

The provider's authorized official is Charles D Wood .
The authorized official title is Finance Director and has the following contact phone number (301) 997-1300.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 10/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	901779	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012240802	MEDICAID	MARYLAND
2	745188100	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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