NPI | 1144363086 |
---|---|
Doing Business As | WALDEN HOUSE |
Entity Type | Organization |
Authorized Contact | VITKA EISEN CEO 415-762-3712 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 380016AFN) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2007-02-14 |
Last Update Date | 2021-10-28 |