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Organization

INNOVATING MINDS FOUNDATION LLC

Active
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Organization

INNOVATING MINDS FOUNDATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA M DAVIS (OWNER/MANAGING EMPLOYEE)
(312) 405-4121
Entity
Organization

Contact information

Practice address
6404 STARCREST DR, LAS VEGAS, NV 89108-2714
(702) 358-9727
(702) 992-0585
Mailing address
6404 STARCREST DR, LAS VEGAS, NV 89108-2714
(702) 358-9727
(702) 992-0585

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/23/2019
Last updated
04/23/2021
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