Provider Demographics
NPI:1558106641
Name:QUALITY TIME INSTITUTE FOR MENTAL HEALTH LLC
Entity type:Organization
Organization Name:QUALITY TIME INSTITUTE FOR MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:951-385-7014
Mailing Address - Street 1:2108 N ST # 7961
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5712
Mailing Address - Country:US
Mailing Address - Phone:951-358-7014
Mailing Address - Fax:
Practice Address - Street 1:2108 N ST # 7961
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5712
Practice Address - Country:US
Practice Address - Phone:951-358-7014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty