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
44871 ST. ANDREWS CHURCH ROAD, CALIFORNIA, MD 20619-2061
(301) 997-1300
Mailing address
44871 ST. ANDREWS CHURCH ROAD, CALIFORNIA, MD 20619-4935
(301) 997-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
903214
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800355-03
—
MD
Enumeration date
01/05/2010
Last updated
04/10/2024
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