| Organization Name: | PYRAMID HEALTHCARE INC. |
| NPI Number: | 1124450069 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN E WOLF (CEO) |
| Mailing Address: | 420 Supreme Ct East Stroudsburg |
| State: | PA US |
| Postal Code: | 183026800 |
| Phone Number: | 8149400407 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2013 |
| NPI Last Update Date: | 05/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 457040 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |