Pasadena Villa Outpatient- Norfolk | |
5700 Lake Wright Dr Ste 409 Norfolk VA 23502-1859 | |
(757) 918-7976 | |
Not Available |
Full Name | Pasadena Villa Outpatient- Norfolk |
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Speciality | Clinic/center - Adult Mental Health |
Location | 5700 Lake Wright Dr Ste 409, Norfolk, Virginia |
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 |
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Pasadena Villa Outpatient- Norfolk 5700 Lake Wright Dr Ste 409 Norfolk VA 23502-1859 Ph: () - | Pasadena Villa Outpatient- Norfolk 5700 Lake Wright Dr Ste 409 Norfolk VA 23502-1859 Ph: (757) 918-7976 |
NPI Number | 1043950504 |
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Provider Enumeration Date | 03/31/2022 |
Last Update Date | 05/14/2024 |
Certification Date | 05/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043950504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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