Organization
RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC
Active
Other names
Pasadena Villa Outpatient- Stafford
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SARNACKE (CFO)
(615) 864-8154
Entity
Organization
Contact information
Practice address
125 WOODSTREAM BLVD STE 401, STAFFORD, VA 22556-4644
(540) 613-1298
Mailing address
125 WOODSTREAM BLVD STE 401, STAFFORD, VA 22556-4644
(540) 613-1298
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
05/14/2024
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