Organization
PASADENA VILLA MICHIGAN, LLC
Active
Other names
Pasadena Villa Great Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BRADY (CFO)
(615) 864-8145
Entity
Organization
Contact information
Practice address
393 ROOSEVELT AVE E, BATTLE CREEK, MI 49017-3333
(615) 864-8145
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
—
—
Other
Enumeration date
05/31/2024
Last updated
04/06/2026
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