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
44863 ST ANDREWS CHURCH ROAD, CALIFORNIA, MD 20619
(301) 997-1300
Mailing address
PO BOX 967, DUNCANSVILLE, PA 16635-0967
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
11/02/2020
Last updated
04/10/2024
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