MY TIME RECOVERY LLC NPI 1740786557

NPI Information

MY TIME RECOVERY, LLC is a substance abuse rehabilitation facility in Fresno, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MY TIME RECOVERY, LLC NPI is 1740786557. The provider is registered as an organization entity type.

The provider's business location address is:

83 E. SHAW AVE STE 200
FRESNO, CA
ZIP 93710
Phone: (559) 293-4387

The provider's authorized official is Rene' L. Sample .
The authorized official title is Owner and has the following contact phone number (559) 286-9263.

The CLIA number assigned to this NPI record is 05D2156026 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2018 and was last updated on 4/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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