Provider Demographics
NPI:1659803625
Name:TTC RECOVERY, INC.
Entity Type:Organization
Organization Name:TTC RECOVERY, INC.
Other - Org Name:TIME TO CHANGE RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-805-4671
Mailing Address - Street 1:29204 SHIPWRIGHT DR
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92585-3433
Mailing Address - Country:US
Mailing Address - Phone:951-805-4671
Mailing Address - Fax:
Practice Address - Street 1:29204 SHIPWRIGHT DR
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92585-3433
Practice Address - Country:US
Practice Address - Phone:951-805-4671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility