Organization
PYRAMID WALDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CEO)
(148) 940-0407
Entity
Organization
Contact information
Practice address
44867 ST. ANDREWS CHURCH RD., CALIFORNIA, MD 20619-2061
(301) 997-1300
Mailing address
PO BOX 967, DUNCANSVILLE, PA 16635-0967
(301) 997-1300
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231604802
—
MD
Enumeration date
03/05/2020
Last updated
04/10/2024
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