| NPI | 1013608231 | 
|---|---|
| Doing Business As | INNOVA RECOVERY CENTER | 
| Entity Type | Organization | 
| Authorized Contact | KASI HOWARD Owner 210-838-0090 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health | 
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-05-18 | 
| Last Update Date | 2024-06-15 |