NPI 1285360560

Innova Recovery Center, PLLC

Organisation Psychiatric Residential Treatment Facility Boerne, TX

Practice location

Address: 319 Los Indios Ranch Rd, Boerne, TX 78006-5724
Phone: (210) 254-3618
Fax: (210) 881-9022
Mailing address: 1842 Lockhill Selma Rd, San Antonio, TX 78213-1559

Authorised official

Name: Kasi Howard
Title: Owner
Phone: (210) 838-0090

Registered specialties (2)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

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Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1285360560
Entity type: Organization
NPI issued: 28 Jul 2022
Record last updated: 28 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.