Provider Demographics
NPI:1043437593
Name:TURNING POINT OF CENTRAL CALIFORNIA, INC.
Entity Type:Organization
Organization Name:TURNING POINT OF CENTRAL CALIFORNIA, INC.
Other - Org Name:TURNING POINT YOUTH SERVICES - SUPERIOR SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:FLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-732-8086
Mailing Address - Street 1:220 N LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-4946
Mailing Address - Country:US
Mailing Address - Phone:559-627-1385
Mailing Address - Fax:559-636-2105
Practice Address - Street 1:1105 S O ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-6531
Practice Address - Country:US
Practice Address - Phone:559-688-2623
Practice Address - Fax:559-636-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA540007BN101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5478OtherDRUG MEDI-CAL
CA540007BNOtherADP CERT