NPI | 1295461580 |
---|---|
Doing Business As | INNOVA RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | KASI HOWARD Owner 210-254-3618 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-07-28 |
Last Update Date | 2022-07-28 |