| NPI | 1811273865 |
|---|---|
| Former Legal Business Name | WALDEN HOUSE |
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN CEO 415-762-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190728CN) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2013-05-09 |