MEDICARE: CROSSROADS TURNING POINTS 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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1073461497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSROADS TURNING POINTS INC

Provider Business Mailing Address
First Line	:	4 MONTEBELLO RD
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81001-1237
Country	:	US
Telephone Number	:	719-546-6667
Fax Number	:	719-546-8273

Provider Business Practice Location Address
First Line	:	1026 MAXWELL ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-5554
Country	:	US
Telephone Number	:	719-419-7959
Fax Number	:	719-465-3966

Authorized Official
Title or Position	:	CRED & ENROLLMENT SPECIALIST
Name	:	BANAFSHE' KING
Credential	:
Telephone Number	:	719-287-2637

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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