Organization
TIME WELLNESS AR
Active
Parent organization
TIME TREATMENT CENTER GA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIME TREATMENT CENTER GA LLC
Authorized official
DANIEL E FESEFELDT III (CHIEF OPERATING OFFICER)
(954) 654-2350
Entity
Organization
Contact information
Practice address
4220 N CROSSOVER RD STE 102, FAYETTEVILLE, AR 72703-4593
(954) 654-2350
Mailing address
4220 N CROSSOVER RD STE 102, FAYETTEVILLE, AR 72703-4593
(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
10/09/2024
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