Organization
PYRAMID HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HENDRICKS (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
1230 VETERANS HWY, SUITE A-8, BRISTOL, PA 19007-7502
(215) 244-7607
(215) 788-8479
Mailing address
1230 VETERANS HWY, BRISTOL, PA 19007-7502
(215) 244-7607
(215) 788-8479
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
097102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097102
LICENSE NUMBER
PA
05
—
10076250500088
—
PA
05
—
1007625050086
—
PA
Enumeration date
10/09/2014
Last updated
04/10/2024
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