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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