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
44871 SAINT ANDREWS CHURCH ROAD, CALIFORNIA, MD 20619
(301) 997-1300
Mailing address
44871 SAINT ANDREWS CHURCH ROAD, CALIFORNIA, MD 20619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/31/2022
Last updated
04/10/2024
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