Healthcare Provider Details
I. General information
NPI: 1700257888
Provider Name (Legal Business Name): TURNING POINT OF CENTRAL CALIFORNIA INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2015
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2129 E TULARE AVE
TULARE CA
93274-3241
US
IV. Provider business mailing address
2129 E TULARE AVE
TULARE CA
93274-3241
US
V. Phone/Fax
- Phone: 559-627-1385
- Fax:
- Phone: 559-627-1385
- Fax:
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: MS.
LAURA
G.
QUIROZ
Title or Position: PROGRAM DIRECTOR
Credential: CATC
Phone: 559-627-1358