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 | 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 | |
283Q00000X Psychiatric Hospital | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2016-09-16 |
Last Update Date | 2024-07-23 |