| NPI | 1427332501 |
|---|---|
| Doing Business As | INNOVATIVE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | RONALD HEGEL President 414-383-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261Q00000X Clinic/Center (Licence: WI 2961) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2012-05-08 |