# TENDER LOVING CARE HOME FOR BOYS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corinthians Helping Hand Group Homes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720514896
- **Authorized official:** MR. REGINALD BROWN SR. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (909) 243-2307

## Contact information

- **Practice address:** 11519 CARLISLE PL, RANCHO CUCAMONGA, CA 91730-7233
- **Practice address phone:** (909) 484-7259
- **Mailing address:** 11519 CARLISLE PLACE, RANCHO CUCAMONGA, CA 91730
- **Mailing address phone:** (909) 484-7259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 366405647 | CA | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 366407775 | CA | — |

## Other

- **Enumeration date:** 05/10/2017
- **Last updated:** 05/10/2017
