Provider Demographics
NPI:1750723383
Name:PYRAMID
Entity type:Organization
Organization Name:PYRAMID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINCIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:F
Authorized Official - Last Name:COZART
Authorized Official - Suffix:
Authorized Official - Credentials:MS/MFT
Authorized Official - Phone:617-850-2162
Mailing Address - Street 1:5 TIVERTON RD
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2627
Mailing Address - Country:US
Mailing Address - Phone:617-850-2162
Mailing Address - Fax:
Practice Address - Street 1:5 TIVERTON RD
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2627
Practice Address - Country:US
Practice Address - Phone:617-850-2162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management