| 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 Service |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |