Organization
PYRAMID SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L VACTOR LCSW (EXECUTIVE DIRECTOR)
(256) 715-1050
Entity
Organization
Contact information
Practice address
2002 POOLE DR NW, SUITE #D, HUNTSVILLE, AL 35810-3887
(256) 715-1050
Mailing address
2002 POOLE DR NW, SUITE #D, HUNTSVILLE, AL 35810-3887
(256) 715-1050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1692C
AL
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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