Organization
PYRAMID WALDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CHIEF EXECUTIVE OFFICER)
(814) 940-0407
Entity
Organization
Contact information
Practice address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
(301) 290-0280
Mailing address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
(301) 290-0280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-915
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4214480-00
—
MD
Enumeration date
12/18/2012
Last updated
04/10/2024
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