| NPI | 1396200838 |
|---|---|
| Doing Business As | SILVER STATE BH AT RENAISSANCE |
| Entity Type | Organization |
| Authorized Contact | PAULINE MAH COO 702-808-5739 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2022-03-31 |