Organization
DOROTHY COVERSON FOUNDATION
Active
Other names
Innovative Health Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS RAMON POLLARD (CEO)
(702) 324-2126
Entity
Organization
Contact information
Practice address
3075 E FLAMINGO RD STE 118, LAS VEGAS, NV 89121-4300
(702) 522-7363
(702) 920-8322
Mailing address
3075 E FLAMINGO RD STE 118, LAS VEGAS, NV 89121-4300
(702) 522-7363
(702) 920-8322
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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