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Organization
TOTAL LIFE CHANGE INC
Active
Organization
TOTAL LIFE CHANGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOD HARRIS (PROGRAM DIRECTOR)
(559) 479-9779
Entity
Organization
Contact information
Practice address
1300 E SHAW AVE STE 121, FRESNO, CA 93710-7903
(559) 479-9779
Mailing address
1300 E SHAW AVE STE 121, FRESNO, CA 93710-7903
(559) 479-9779
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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