Organization
TIME WELLNESS TREATMENT RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CANTO (COO)
(964) 654-2350
Entity
Organization
Contact information
Practice address
520 LYTLE ST, CHATTANOOGA, TN 37405-4014
(954) 654-2350
Mailing address
1160 HAMMOND DR UNIT 409, SANDY SPRINGS, GA 30328-5498
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/27/2022
Last updated
07/17/2023
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