| NPI | 1871938118 |
|---|---|
| Former Legal Business Name | WALDEN HOUSE |
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN President & CEO 415-762-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190728BN) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-09-11 |