| Pasadena Villa Outpatient Center Richmond | |
|
4050 Innslake Dr Ste 300 Glen Allen VA 23060-3327 | |
| (804) 495-0383 | |
| Not Available |
| Full Name | Pasadena Villa Outpatient Center Richmond |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4050 Innslake Dr Ste 300, Glen Allen, Virginia |
| Authorized Official Name and Position | Scott Sarnacke (CFO) |
| Authorized Official Contact | 6154227689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Villa Outpatient Center Richmond 4050 Innslake Dr Ste 300 Glen Allen VA 23060-3327 Ph: (804) 495-0383 | Pasadena Villa Outpatient Center Richmond 4050 Innslake Dr Ste 300 Glen Allen VA 23060-3327 Ph: (804) 495-0383 |
| NPI Number | 1235898255 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235898255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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