Organization
RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC
Active
Organization
RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC
Active
Other names
Pasadena Villa Outpatient North Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BRADY (CFO)
(615) 260-2641
Entity
Organization
Contact information
Practice address
10130 PERIMETER PKWY STE 240, CHARLOTTE, NC 28216-2447
(980) 701-9266
Mailing address
720 COOL SPRINGS BLVD, FRANKLIN, TN 37067-2626
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
07/25/2023
Last updated
06/10/2026
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