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Organization

TIME WELLNESS AR

Active
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Organization

TIME WELLNESS AR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS CANTO (OWNER)
(954) 654-2350
Entity
Organization

Contact information

Practice address
4220 N CROSSOVER RD STE 215, FAYETTEVILLE, AR 72703-5624
(954) 654-2350
Mailing address
PO BOX 1328, NEWNAN, GA 30264-1328
(954) 654-2350

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
283Q00000X
Psychiatric Hospital
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other

Enumeration date
10/05/2023
Last updated
07/06/2026
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