Provider Demographics
NPI:1720304306
Name:PYRAMID RESOURCES ENTERPRISES, INC.
Entity Type:Organization
Organization Name:PYRAMID RESOURCES ENTERPRISES, INC.
Other - Org Name:POSITIVE LIVING MENTAL HEALTH REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:MOGILLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:504-827-2701
Mailing Address - Street 1:3330 CANAL ST STE 301
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6246
Mailing Address - Country:US
Mailing Address - Phone:504-827-2701
Mailing Address - Fax:504-827-2715
Practice Address - Street 1:3330 CANAL ST STE 301
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6246
Practice Address - Country:US
Practice Address - Phone:504-827-2701
Practice Address - Fax:504-827-2715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health