Organization
INNOVA RECOVERY CENTER, PLLC
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
319 LOS INDIOS RANCH RD, BOERNE, TX 78006-5724
(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
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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