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Organization

INFINITE PEACE, LLC

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
290 ANDREWS RD, FEASTERVILLE TREVOSE, PA 19053-3480
(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
103TP2701X
Group Psychotherapy Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
02/07/2023
Last updated
02/07/2023
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