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
626 N GRANT ST, WAYNESBORO, PA 17268-8737
(717) 809-2088
Mailing address
626 N GRANT ST, WAYNESBORO, PA 17268-8737
(717) 809-2088
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
287058
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007625050082
—
PA
05
—
1007625050087
—
PA
05
—
1007625050089
—
PA
01
—
287058
CERTIFICATE OF LICENSE
PA
Enumeration date
09/10/2014
Last updated
04/10/2024
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