=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447746664
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TURNING POINT RECOVERY CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2018
-----------------------------------------------------
Last Update Date | 07/11/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 360 CALIFORNIA AVENUE
-----------------------------------------------------
City | WAHIAWA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96786
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-638-4440
-----------------------------------------------------
Fax | 808-744-1778
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 360 CALIFORNIA AVENUE
-----------------------------------------------------
City | WAHIAWA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96786
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-638-4440
-----------------------------------------------------
Fax | 808-744-1778
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | SATNLEY RECOVERY PERPIGNAN
-----------------------------------------------------
Credential | MS
-----------------------------------------------------
Telephone | 808-638-4440
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------