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
SCOTT SAMPLE (OWNER)
(559) 392-0241
Entity
Organization
Contact information
Practice address
5236 N BRYN MAWR DR, FRESNO, CA 93711-2808
(559) 840-0896
(559) 282-3102
Mailing address
83 E SHAW AVE STE 200, FRESNO, CA 93710-7624
(559) 840-0896
(559) 282-3102
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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