WALDEN SIERRA CORP
NPI 1326439894
Clinic/Center - Rehabilitation, Substance Use Disorder in Charlotte Hall, MD

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

Active since February 05, 2015

30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622(866) 239-0826 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder

About WALDEN SIERRA CORP

This page provides the complete NPI Profile along with additional information for Walden Sierra Corp, a provider established in Charlotte Hall, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1326439894 assigned on February 2015. The practitioner's primary taxonomy code is 261QR0405X with license number 904527 (MD). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Charles Wood (Cfo)

NPI: 1326439894 Verify this NPI
Provider Name: WALDEN SIERRA CORP
Entity Type: Organization
Location Address: 30007 BUSINESS CENTER DR CHARLOTTE HALL, MD 20622
Location Phone: (866) 239-0826
Mailing Address: 30007 BUSINESS CENTER DR CHARLOTTE HALL, MD 20622
Mailing Phone: (301) 997-1300
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-05-2015
Last Update Date: 02-05-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities
License No.: 904527
License State: MD

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CHARLES WOOD
Authorized Official Title: CFO
Authorized Official Phone: (301) 997-1300