Organization
INNOVA RECOVERY SERVICES, LLC
Active
Parent organization
INNOVA MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVA MANAGEMENT, LLC
Authorized official
ADAM VINCENT (PRESIDENT)
(719) 445-9330
Entity
Organization
Contact information
Practice address
1824 WOODMOOR DR, STE 101, MONUMENT, CO 80132-9097
(719) 445-9330
Mailing address
1824 WOODMOOR DR, STE 101, MONUMENT, CO 80132-9097
(719) 445-9330
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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