Pyramid Healthcare INC.
Substance Abuse Rehabilitation Facility in East Stroudsburg, PA. Organization (NPI-2).
NPI number1124450069
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1124450069
- Entity type
- Organization (NPI-2)
- Legal business name
- Pyramid Healthcare INC.
- Organization subpart
- No
- Enumeration date
- Aug 2, 2013
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 457040 | PA | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 457040 | PA |
Practice location
420 Supreme CtEast Stroudsburg, PA 18302-6800
Phone 814-940-0407
Mailing address
1894 Plank RdPo Box 967
Duncansville, PA 16635-8380
Authorized official
Jason E Hendricks
Ceo
8149400407
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