Organization
PYRAMID HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICETA KING-RICHARDSON (PRESIDENT/CEO)
(614) 584-1625
Entity
Organization
Contact information
Practice address
6041 MCNAUGHTEN GROVE LN, COLUMBUS, OH 43213-5106
(614) 584-1625
(614) 367-6430
Mailing address
6041 MCNAUGHTEN GROVE LN, COLUMBUS, OH 43213-5106
(614) 584-1625
(614) 367-6430
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320600000X
—
OH
Enumeration date
05/22/2019
Last updated
05/22/2019
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