| Pasadena Villa Michigan, Llc | |
|
2525 E Paris Ave Se Ste 150 Grand Rapids MI 49546-6114 | |
| (616) 207-3818 | |
| Not Available |
| Full Name | Pasadena Villa Michigan, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2525 E Paris Ave Se Ste 150, Grand Rapids, Michigan |
| Authorized Official Name and Position | Scott Sarnacke (CFO) |
| Authorized Official Contact | 6154427689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Villa Michigan, Llc 2525 E Paris Ave Se Ste 150 Grand Rapids MI 49546-6114 Ph: () - | Pasadena Villa Michigan, Llc 2525 E Paris Ave Se Ste 150 Grand Rapids MI 49546-6114 Ph: (616) 207-3818 |
| NPI Number | 1437963022 |
|---|---|
| Provider Enumeration Date | 02/04/2025 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437963022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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