Organization
INNOVATIVE MENTORING AND FAMILY SERVICES
Active
Organization
INNOVATIVE MENTORING AND FAMILY SERVICES
Active
Other names
Inovative Care Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORDELL RUIZ (CEO)
(702) 496-9040
Entity
Organization
Contact information
Practice address
3692 N RANCHO DR, LAS VEGAS, NV 89130-3183
(702) 496-9040
Mailing address
3692 N RANCHO DR, LAS VEGAS, NV 89130-3183
(702) 496-9040
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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