NPI | 1437963022 |
---|---|
Doing Business As | PASADENA VILLA OUTPATIENT - GRAND RAPIDS |
Entity Type | Organization |
Authorized Contact | SCOTT SARNACKE CFO 615-442-7689 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-02-04 |
Last Update Date | 2025-02-04 |