Organization
PYRAMID HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN E WOLF (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
3180 ROUTE 611, SUITE 19, BARTONSVILLE, PA 18321-7824
(570) 420-7939
(610) 434-1179
Mailing address
3180 ROUTE 611, SUITE 19, BARTONSVILLE, PA 18321-7824
(570) 420-7939
(610) 434-1179
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007625050090
—
PA
01
—
457042
LICENSE NUMBER
PA
Enumeration date
11/25/2015
Last updated
02/17/2016
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