| Organization Name: | INNOVATION RECOVERY RESOURCE |
| NPI Number: | 1144601899 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY RENEE HOWELL (OWNER) |
| Mailing Address: | 260 N Belknap St Stephenville |
| State: | TX US |
| Postal Code: | 764013449 |
| Phone Number: | 2549685011 |
| Fax Number: | 2549685012 |
| NPI Enumeration Date: | 06/17/2015 |
| NPI Last Update Date: | 06/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |