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Organization
INNOVA RECOVERY CENTER, PLLC
Active
Organization
INNOVA RECOVERY CENTER, PLLC
Active
Other names
Innova recovery center
Organization subpart
No
Provider details
NPI number
Authorized official
KASI HOWARD PSYD (OWNER)
(210) 838-0090
Entity
Organization
Contact information
Practice address
319 LOS INDIOS RANCH RD, BOERNE, TX 78006-5724
(210) 254-3618
(210) 881-9022
Mailing address
1842 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213-1559
(210) 838-0090
(210) 881-9022
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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