Organization
RENAISSANCE HEALTHCARE GROUP
Active
Other names
Pasadena Villa Smoky Mountain Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BRADY (CFO)
(615) 864-8145
Entity
Organization
Contact information
Practice address
3889 WONDERLAND LN, SEVIERVILLE, TN 37862-8288
(407) 917-0075
Mailing address
2600 LAKE LUCIEN DR STE 210, MAITLAND, FL 32751-7275
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
L000000020924
TN
Other
Enumeration date
03/03/2009
Last updated
04/06/2026
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