| Foundations Of Change | |
|
7468 Easingwold Dr Las Vegas NV 89113-3203 | |
| (702) 991-3933 | |
| Not Available |
| Full Name | Foundations Of Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7468 Easingwold Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Henriella Davis (OWNER) |
| Authorized Official Contact | 7029913933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Of Change 2831 Saint Rose Pkwy Suite 213 Henderson NV 89052-4840 Ph: (702) 991-3933 | Foundations Of Change 7468 Easingwold Dr Las Vegas NV 89113-3203 Ph: (702) 991-3933 |
| NPI Number | 1346558913 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346558913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20101336776 (Nevada) | Primary |
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