=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518095769
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TURNING POINT CHILDRENS MENTAL HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/01/2007
-----------------------------------------------------
Last Update Date | 06/25/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 109 NW 2ND AVE
-----------------------------------------------------
City | VISALIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93291-3672
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-627-1490
-----------------------------------------------------
Fax | 559-732-7942
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 109 NW 2ND AVE
-----------------------------------------------------
City | VISALIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93291-3672
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-627-1490
-----------------------------------------------------
Fax | 559-732-7942
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED PSYCHIATRIC TECHNICIAN
-----------------------------------------------------
Name | MS. MIGDALIA HADRIAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 559-627-1490
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310500000X
-----------------------------------------------------
Taxonomy Name | Mental Illness Intermediate Care Facility
-----------------------------------------------------
License Number | PT 33520
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------