Organization
PYRAMID HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON HENDRICKS (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
2 SELLERS DR, ALTOONA, PA 16601-9306
(814) 940-0407
Mailing address
1894 PLANK RD, P.O. BOX 967, DUNCANSVILLE, PA 16635-8380
(814) 940-0407
(814) 940-0618
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
077022
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077023
STATE LICENSE
PA
Enumeration date
04/18/2007
Last updated
04/10/2024
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