| NPI | 1598505968 |
|---|---|
| Doing Business As | PASADENA VILLA GREAT LAKES |
| Entity Type | Organization |
| Authorized Contact | SCOTT SARNACKE CFO 615-864-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-12-02 |