Healthcare Provider Details
I. General information
NPI: 1124515895
Provider Name (Legal Business Name): TURNING POINT OF CENTRAL CALIFORNIA INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2018
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1638 L ST
FRESNO CA
93721-1118
US
IV. Provider business mailing address
615 S ATWOOD ST
VISALIA CA
93277-8302
US
V. Phone/Fax
- Phone: 559-237-0846
- Fax: 844-587-6413
- Phone: 559-732-8086
- Fax: 844-364-4599
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DENNIS
JAMES
REID
Title or Position: CHIEF OPERATING OFFICER
Credential: LCSW
Phone: 559-732-8086