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Organization

CENTRAL RECOVERY CENTER, LLC.

Active
Find providers by NPI
Organization

CENTRAL RECOVERY CENTER, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY TYLER GOMEZ (CEO)
(559) 331-5214
Entity
Organization

Contact information

Practice address
8050 N PALM AVE STE 300, FRESNO, CA 93711-5510
(559) 389-5098
Mailing address
8050 N PALM AVE STE 300, FRESNO, CA 93711-5510
(559) 389-5098

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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