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
4447 GIBSONIA RD, GIBSONIA, PA 15044-7998
(724) 443-3220
(724) 443-3771
Mailing address
1894 PLANK RD, P.O. BOX 967, DUNCANSVILLE, PA 16635-8380
(814) 940-0407
(814) 941-0574
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
707235
PA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
707235
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10076250500010
—
PA
05
—
1007625050033
—
PA
05
—
1007625050070
—
PA
05
—
1007625050081
—
PA
Enumeration date
04/03/2007
Last updated
04/10/2024
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