Organization
PYRAMID HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON HENDRICKS (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
1605 NORTH CEDAR CREST BOULEVARD, SUITE 105, ROMA CORPORATE CENTER, ALLENTOWN, PA 18104
(610) 434-1126
(610) 434-1179
Mailing address
1894 PLANK RD, PO BOX 967, DUNCANSVILLE, PA 16635-8380
(814) 940-0407
(814) 381-2798
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
397058
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007625050066
—
PA
05
—
1007625050067
—
PA
05
—
1007625050075
—
PA
01
—
397058
DEPARTMENT OF HEALTH LICENSE NUMBER
PA
Enumeration date
10/05/2011
Last updated
04/10/2024
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