Organization
RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC
Active
Other names
Pasadena Villa Outpatient- Chantilly
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SARNACKE (CFO)
(615) 864-8154
Entity
Organization
Contact information
Practice address
14555 AVION PKWY STE 150, CHANTILLY, VA 20151-1134
(703) 682-8057
Mailing address
14555 AVION PKWY STE 150, CHANTILLY, VA 20151-1134
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
05/14/2024
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