Organization
PYRAMID HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON HENDRICKS (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
1325 W 26TH ST, ERIE, PA 16508-1469
(814) 456-2203
Mailing address
PO BOX 967, DUNCANSVILLE, PA 16635-0967
(814) 940-0407
(814) 941-0574
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
257077
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007625050094
—
PA
05
—
1007625050096
—
PA
05
—
1007625050097
—
PA
05
—
1007625050153
—
PA
05
—
1007625050154
—
PA
05
—
1007625050155
—
PA
01
—
257077
LICENSE NUMBER
PA
Enumeration date
04/03/2007
Last updated
04/22/2025
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