Organization
INNOVA RECOVERY, PLLC
Active
Other names
Innova Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KASI HOWARD PSYD (OWNER)
(210) 254-3618
Entity
Organization
Contact information
Practice address
2827 N DAL PASO ST STE 113, HOBBS, NM 88240-2062
(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
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/28/2022
Last updated
05/10/2023
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