Healthcare Provider Details

I. General information

NPI: 1407197304
Provider Name (Legal Business Name): TURNING POINT YOUTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 03/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41825 ROAD 128
OROSI CA
93647-2008
US

IV. Provider business mailing address

220 N LOCUST ST
VISALIA CA
93291-4946
US

V. Phone/Fax

Practice location:
  • Phone: 559-627-1385
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number5478
License Number StateCA

VIII. Authorized Official

Name: MS. LAURA QUIROZ
Title or Position: PROGRAM DIRECTOR
Credential: RAS
Phone: 559-627-1385