Organization
RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC
Active
Parent organization
RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC
Other names
Pasadena Villa Outpatient Charlotte
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC
Authorized official
BENJAMIN BRADY (CFO)
(615) 260-2641
Entity
Organization
Contact information
Practice address
7300 CARMEL EXECUTIVE PARK DR STE 100, CHARLOTTE, NC 28226-1307
(704) 727-6997
Mailing address
720 COOL SPRINGS BLVD STE 550, FRANKLIN, TN 37067-2645
(704) 727-6997
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
06/10/2026
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