NPI | 1972902153 |
---|---|
Doing Business As | INNOVA HEALTH RENEWAL CENTER |
Entity Type | Organization |
Authorized Contact | GERD STANSZUS Owner/Manager 907-312-7152 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |