Organization
MY TIME RECOVERY, LLC
Active
Parent organization
MY TIME RECOVERY, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY TIME RECOVERY, LLC.
Authorized official
NICOLE NYGREN (OPERATIONS MANAGER)
(702) 419-2592
Entity
Organization
Contact information
Practice address
1015 E INDIANAPOLIS AVE, FRESNO, CA 93704-3819
(702) 419-2592
Mailing address
83 E SHAW AVE, FRESNO, CA 93710-7620
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
03/23/2022
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