Healthcare Provider Details
I. General information
NPI: 1144676859
Provider Name (Legal Business Name): TURNING POINT OF CENTRAL CALIFORNIA INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2016
Last Update Date: 05/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2212 N WINERY AVE STE 101
FRESNO CA
93703-2896
US
IV. Provider business mailing address
3636 N 1ST ST STE 135
FRESNO CA
93726-6818
US
V. Phone/Fax
- Phone: 559-225-1464
- Fax: 559-225-1693
- Phone: 559-225-1464
- Fax: 559-225-1693
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.
SCOTT
CHARLES
HOLLANDER
Title or Position: CHIEF OPERATING OFFICER
Credential: LCSW
Phone: 559-732-8086