Healthcare Provider Details

I. General information

NPI: 1639394570
Provider Name (Legal Business Name): TURNING POINT OF CENTRAL CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 E HONOLULU ST
LINDSAY CA
93247-2116
US

IV. Provider business mailing address

220 N LOCUST ST
VISALIA CA
93291-4946
US

V. Phone/Fax

Practice location:
  • Phone: 559-562-8292
  • Fax: 559-636-2105
Mailing address:
  • Phone: 559-627-1385
  • Fax: 559-636-2105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number540007BN
License Number StateCA

VIII. Authorized Official

Name: JEFF FLY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 559-732-8086