RENAISSANCE HEALTHCARE GROUP RALEIGH LLC NPI 1598316770

NPI Information

NPI: 1598316770
Provider Name: RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC

Doing Business As: PASADENA VILLA OUTPATIENT CHARLOTTE

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
7300 CARMEL EXECUTIVE PARK DR STE 100
CHARLOTTE, NC
ZIP 28226
Phone: (704) 398-3928
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RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC is an adult mental health clinic center in Charlotte, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC NPI is 1598316770. The provider is registered as an organization entity type.
The provider Is Doing Business As Pasadena Villa Outpatient Charlotte.

The provider's business location address is:

7300 CARMEL EXECUTIVE PARK DR STE 100
CHARLOTTE, NC
ZIP 28226-307
Phone: (704) 398-3928

The provider's authorized official is Scott Sarnacke .
The authorized official title is Cfo and has the following contact phone number (615) 864-8154.

The enumeration date for this NPI number is 9/27/2019 and was last updated on 2/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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