| NPI | 1508246752 |
|---|---|
| Doing Business As | INNOVATIVE CARE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | IVAN LEE GOLDSMITH Owner/Director 702-646-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 6116) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |