Healthcare Provider Details
I. General information
NPI: 1104949775
Provider Name (Legal Business Name): TURNING POINT OF CENTRAL CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6832 AVENUE 280
VISALIA CA
93277-9429
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 | 540007BN |
| License Number State | CA |
VIII. Authorized Official
Name:
JEFF
FLY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 559-732-8086