| Innova Recovery, Pllc | |
|
1003 Bishop St Ste 2700 Honolulu HI 96813-6475 | |
| (210) 254-3618 | |
| Not Available |
| Full Name | Innova Recovery, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1003 Bishop St Ste 2700, Honolulu, Hawaii |
| Authorized Official Name and Position | Kasi Howard (OWNER) |
| Authorized Official Contact | 2102543618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innova Recovery, Pllc 1842 Lockhill Selma Rd Ste 102 San Antonio TX 78213-1559 Ph: () - | Innova Recovery, Pllc 1003 Bishop St Ste 2700 Honolulu HI 96813-6475 Ph: (210) 254-3618 |
| NPI Number | 1487374195 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487374195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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