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CENTRAL RECOVERY CENTER LLC. NPI 1871195446


NPI Information

NPI: 1871195446
Provider Name: CENTRAL RECOVERY CENTER, LLC.
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
8050 N PALM AVE STE 300
FRESNO, CA
ZIP 93711
Phone: (559) 389-5098
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CENTRAL RECOVERY CENTER, LLC. is a marriage family therapist in Fresno, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. CENTRAL RECOVERY CENTER, LLC. NPI is 1871195446. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8050 N PALM AVE STE 300
FRESNO, CA
ZIP 93711-510
Phone: (559) 389-5098

The provider's authorized official is Randy Tyler Gomez .
The authorized official title is Ceo and has the following contact phone number (559) 331-5214.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2106H00000XMarriage & Family TherapistYes
3133V00000XDietitian, RegisteredNo
4163W00000XRegistered NurseNo

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: 4/28/2024

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