Healthcare Provider Details
I. General information
NPI: 1366720708
Provider Name (Legal Business Name): TURNING POINT YOUTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2011
Last Update Date: 08/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
451 E SAMOA ST
LINDSAY CA
93247-2160
US
IV. Provider business mailing address
220 N LOCUST ST
VISALIA CA
93291-4946
US
V. Phone/Fax
- Phone: 559-627-1385
- Fax: 559-636-2105
- Phone: 559-627-1385
- Fax: 559-636-2105
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 5478 |
| License Number State | CA |
VIII. Authorized Official
Name: MRS.
LAURA
QUIROZ
Title or Position: PROGRAM DIRECTOR
Credential: RAS
Phone: 559-627-1385