MY TIME RECOVERY LLC NPI 1114431897

NPI Information

NPI: 1114431897
Provider Name: MY TIME RECOVERY, LLC
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Address: 83 E SHAW AVE STE 200-204
FRESNO, CA
ZIP 93710
Phone: (559) 840-0896

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NPI Details

MY TIME RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Fresno, CA. MY TIME RECOVERY, LLC NPI is 1114431897. The provider is registered as an organization entity type.

The provider's business location address is:

83 E SHAW AVE STE 200-204
FRESNO, CA
ZIP 93710-620
Phone: (559) 840-0896
Fax: (559) 282-3102

The provider's authorized official is Samantha Barron .
The authorized official title is Office Manager and has the following contact phone number (559) 355-6128.

The enumeration date for this NPI number is 11/17/2017 and was last updated on 4/1/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100002BP	OTHER	CALIFORNIA	DHCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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