Organization
INNOVA RECOVERY
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
446 SE WASHINGTON ST, HILLSBORO, OR 97123-4141
(210) 254-3618
(210) 881-9022
Mailing address
1842 LOCKHILL SELMA RD STE 102, SAN ANTONIO, TX 78213-1559
(210) 838-0090
(210) 881-9022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/18/2023
Last updated
06/15/2024
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