Provider Demographics
NPI:1407052087
Name:TURNING POINT OUTPATIENT
Entity Type:Organization
Organization Name:TURNING POINT OUTPATIENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUMP
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:916-438-3030
Mailing Address - Street 1:4600 47TH AVE
Mailing Address - Street 2:# 210
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-3923
Mailing Address - Country:US
Mailing Address - Phone:916-438-3030
Mailing Address - Fax:916-438-3034
Practice Address - Street 1:4600 47TH AVE
Practice Address - Street 2:# 210
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-3923
Practice Address - Country:US
Practice Address - Phone:916-438-3030
Practice Address - Fax:916-438-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health