Provider First Line Business Practice Location Address:
WALDEN HOUSE ADOLECENT FACILITY
Provider Second Line Business Practice Location Address:
520 TOWNSEND STREET
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-554-1100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2007