# INNOVA RECOVERY CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innova recovery center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285360560
- **Authorized official:** KASI HOWARD PSYD (OWNER)
- **Authorized official phone:** (210) 838-0090

## Contact information

- **Practice address:** 319 LOS INDIOS RANCH RD, BOERNE, TX 78006-5724
- **Practice address phone:** (210) 254-3618
- **Practice address fax:** (210) 881-9022
- **Mailing address:** 1842 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213-1559
- **Mailing address phone:** (210) 838-0090
- **Mailing address fax:** (210) 881-9022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2022
- **Last updated:** 07/28/2022