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Organization
TLC BEHAVIORAL SERVICES LLC
Active
Organization
TLC BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRICE CALLOWAY (OWNER)
(562) 895-5264
Entity
Organization
Contact information
Practice address
3600 LIME ST BLDG 2, RIVERSIDE, CA 92501-2971
(562) 895-5264
Mailing address
3600 LIME ST BLDG 2, RIVERSIDE, CA 92501-2971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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