| NPI | 1679392252 |
|---|---|
| Doing Business As | PASADENA VILLA OUTPATIENT- QUAD CITIES |
| Entity Type | Organization |
| Authorized Contact | SCOTT SARNACKE CFO 615-442-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |