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
SAMANTHA BARRON (OFFICE MANAGER)
(559) 355-6128
Entity
Organization
Contact information
Practice address
1107 W RIALTO AVE, FRESNO, CA 93705-0918
(559) 840-0896
Mailing address
83 E SHAW AVE STE 200, FRESNO, CA 93710-7624
(559) 286-9263
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
100002AP
CA
Other
Enumeration date
04/02/2018
Last updated
04/01/2022
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