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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