# A & S INNOVATIONS LLC DOVEWOOD RECOVERY HAVEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801581145
- **Authorized official:** ADAM CASTRO (OWNER)
- **Authorized official phone:** (760) 492-7296

## Contact information

- **Practice address:** 267 W DOVEWOOD LN, FRESNO, CA 93704-2030
- **Practice address phone:** (760) 492-7296
- **Mailing address:** 267 W DOVEWOOD LN, FRESNO, CA 93704-2030
- **Mailing address phone:** (760) 492-7296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2023
- **Last updated:** 04/11/2023