NPI | 1881255594 |
---|---|
Doing Business As | INNOVA PSYCHIATRIC GROUP |
Entity Type | Organization |
Authorized Contact | STEPHANIE LEON Practice Administrator 694-584-6287 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2019-06-24 |
Last Update Date | 2024-12-27 |