Healthcare Provider Details
I. General information
NPI: 1750610499
Provider Name (Legal Business Name): TURNING POINT RECOVERY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/08/2009
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9201 MONTGOMERY BLVD NE BLDG 5
ALBUQUERQUE NM
87111-2468
US
IV. Provider business mailing address
9201 MONTGOMERY BLVD NE BLDG 5
ALBUQUERQUE NM
87111-2468
US
V. Phone/Fax
- Phone: 505-440-9545
- Fax: 505-213-0041
- Phone: 505-440-9545
- Fax: 505-213-0041
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PAUL
TUCKER
Title or Position: PRESIDENT
Credential: LADAC
Phone: 505-440-9545