| NPI | 1679392252 |
|---|---|
| Doing Business As | PASADENA VILLA OUTPATIENT- QUAD CITIES |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BRADY CFO 615-864-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2026-07-10 |