# CENTRAL RECOVERY CENTER, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871195446
- **Authorized official:** RANDY TYLER GOMEZ (CEO)
- **Authorized official phone:** (559) 331-5214

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 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