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
1605 N CEDAR CREST BLVD, ROMA CORPORATE CENTER, ALLENTOWN, PA 18104-2351
(610) 434-1126
Mailing address
1894 PLANK RD, PO BOX 967, DUNCANSVILLE, PA 16635-8380
(814) 940-0407
(814) 381-2798
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
225190
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
225190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007625050080
—
PA
01
—
225190
LICENSE NUMBER
PA
Enumeration date
05/15/2014
Last updated
04/10/2024
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