MEDICARE: TURNING POINT CENTER FOR YOUTH & FAMILY DEVELOPMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320800000X	Mental Illness Community Based Residential Treatment Facility	1000441	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053439943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNING POINT CENTER FOR YOUTH & FAMILY DEVELOPMENT, INC.

Provider Business Mailing Address
First Line	:	1644 S COLLEGE AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-1007
Country	:	US
Telephone Number	:	970-221-0999
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S SHIELDS ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-3541
Country	:	US
Telephone Number	:	970-221-0550
Fax Number	:	970-221-2727

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. JAMES K BECKER
Credential	:
Telephone Number	:	970-221-0999

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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