Healthcare Provider Details

I. General information

NPI: 1992778781
Provider Name (Legal Business Name): WALDEN BEHAVIORAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CAREMATRIX DR
DEDHAM MA
02026-6149
US

IV. Provider business mailing address

6100 SW 76TH ST
SOUTH MIAMI FL
33143-5002
US

V. Phone/Fax

Practice location:
  • Phone: 781-647-6585
  • Fax: 781-647-0215
Mailing address:
  • Phone: 305-663-1876
  • Fax: 786-359-4485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number679
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON SCHULZ
Title or Position: CFO
Credential:
Phone: 305-663-1876