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Organization
RENAISSANCE BEHAVIORAL HEALTH LLC
Active
Organization
RENAISSANCE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENDOLYN TERESE GREENE DBH, MS, LMFTI (EXECUTIVE DIRECTOR)
(702) 241-8202
Entity
Organization
Contact information
Practice address
4760 S PECOS RD STE 203-6, LAS VEGAS, NV 89121-6038
(702) 930-5958
Mailing address
PO BOX 620251, LAS VEGAS, NV 89162-0251
(702) 241-8202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
06/11/2019
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