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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