| Pyramid Walden, Llc | |
|
44871 St. Andrews Church Road California MD 20619-2061 | |
| (301) 997-1300 | |
| Not Available |
| Full Name | Pyramid Walden, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 44871 St. Andrews Church Road, California, Maryland |
| Authorized Official Name and Position | Jason Hendricks (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8149400407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pyramid Walden, Llc 44871 St. Andrews Church Road California MD 20619-4935 Ph: (301) 997-1300 | Pyramid Walden, Llc 44871 St. Andrews Church Road California MD 20619-2061 Ph: (301) 997-1300 |
| NPI Number | 1184954745 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184954745 | NPI | - | NPPES |
| 7800355-03 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 903214 (Maryland) | Primary |
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