Organization
PROGRESSIONS TLC LLC
Active
Other names
Progressions TLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA LEE KIRKPATRICK RS, RW (EXECUTIVE DIRECTOR)
(818) 324-2507
Entity
Organization
Contact information
Practice address
5510 WILBUR AVE, TARZANA, CA 91356-3219
(818) 324-2507
(888) 310-3278
Mailing address
PO BOX 6032, WOODLAND HILLS, CA 91365-6032
(818) 324-2507
(888) 310-4278
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
190768AP
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
190768AP
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
190768AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190768AP
CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS LICENSE AND CERTIFICATION
CA
Enumeration date
03/26/2013
Last updated
03/26/2013
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