| NPI | 1821546078 |
|---|---|
| Doing Business As | INNOVA RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KASI HOWARD Owner 210-254-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2024-01-11 |