Organization
PYRAMID WALDEN, LLC
Active
Other names
Walden Behavioral
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
85 HIGH ST, SUITE 4, WALDORF, MD 20602-2150
(301) 997-1300
(301) 863-4744
Mailing address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
(301) 863-4744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7451881-02
—
MD
05
—
7800355-00
—
MD
Enumeration date
10/29/2010
Last updated
04/10/2024
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