Provider Demographics
NPI:1164884144
Name:CROSSROADS' TURNING POINTS, INC.
Entity Type:Organization
Organization Name:CROSSROADS' TURNING POINTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING & ENROLLMENT SPEC
Authorized Official - Prefix:
Authorized Official - First Name:BANAFSHE'
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-419-7959
Mailing Address - Street 1:4 MONTEBELLO RD
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001-1237
Mailing Address - Country:US
Mailing Address - Phone:719-546-6667
Mailing Address - Fax:719-546-8273
Practice Address - Street 1:739 1ST AVE
Practice Address - Street 2:
Practice Address - City:MONTE VISTA
Practice Address - State:CO
Practice Address - Zip Code:81144-1462
Practice Address - Country:US
Practice Address - Phone:719-852-3955
Practice Address - Fax:719-589-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2023-12-01
Deactivation Date:2020-12-22
Deactivation Code:
Reactivation Date:2021-05-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57155038Medicaid