MLRC INC. NPI 1932643814

NPI Information

  • NPI: 1932643814
  • Provider Name: MLRC, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: MYLIFE RECOVERY CENTERS IOP
  • Address: 6073 N 1ST ST STE 102
    FRESNO, CA
    ZIP 93710
  • Phone: (559) 202-3830

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NPI Details

MLRC, INC. is a rehabilitation and substance use disorder clinic center in Fresno, CA. MLRC, INC. NPI is 1932643814. The provider is registered as an organization entity type.
The provider Is Doing Business As Mylife Recovery Centers Iop.

The provider's business location address is:

6073 N 1ST ST STE 102
FRESNO, CA
ZIP 93710-444
Phone: (559) 202-3830

The provider's authorized official is Scott Andrew Funkhouser .
The authorized official title is Interim Director and has the following contact phone number (812) 204-4324.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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