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Organization

PYRAMID WALDEN, LLC

Active
Other names
Walden Sierra
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
(301) 290-0270
Mailing address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
(301) 997-1321

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
100902
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
745188102
MD
05
7800355-052
MD
Enumeration date
01/26/2006
Last updated
04/10/2024
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