Healthcare Provider Details

I. General information

NPI: 1548004369
Provider Name (Legal Business Name): TURNING POINT BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 06/25/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 DOTTS RD
SALTERS SC
29590-3169
US

IV. Provider business mailing address

53 DOTTS RD
SALTERS SC
29590-3169
US

V. Phone/Fax

Practice location:
  • Phone: 803-446-5780
  • Fax:
Mailing address:
  • Phone: 803-446-5780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAKA ABDUL MOUSTAFA
Title or Position: OWNER
Credential: PH.D
Phone: 803-446-5780