Organization
WOMEN'S TRANSITIONAL LIVING CENTER
Active
Other names
Radiant Futures
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEE (CEO)
(714) 992-1939
Entity
Organization
Contact information
Practice address
201 E AMERIGE AVE, FULLERTON, CA 92832-1921
(714) 992-1939
Mailing address
PO BOX 916, FULLERTON, CA 92836-0916
(714) 992-1939
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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