| NPI | 1437963022 |
|---|---|
| Doing Business As | PASADENA VILLA OUTPATIENT - GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BRADY CFO 615-864-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2026-04-06 |