Organization
PYRAMIDION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MANZO (PRESIDENT)
(508) 887-5280
Entity
Organization
Contact information
Practice address
2 GRAFTON CMN, GRAFTON, MA 01519-1534
(508) 887-5280
Mailing address
PO BOX 244, GRAFTON, MA 01519-0244
(508) 887-5280
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
PA3715
MA
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9773312
—
MA
Enumeration date
04/03/2013
Last updated
01/15/2014
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