Provider Demographics
NPI:1417214149
Name:TURNING POINT HOME FOR BOYS, INC.
Entity Type:Organization
Organization Name:TURNING POINT HOME FOR BOYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:703-580-6372
Mailing Address - Street 1:4701 STONEHURST DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5727
Mailing Address - Country:US
Mailing Address - Phone:703-580-6372
Mailing Address - Fax:703-580-9260
Practice Address - Street 1:4701 STONEHURST DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-5727
Practice Address - Country:US
Practice Address - Phone:703-580-6372
Practice Address - Fax:703-580-9260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACO-339-09322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children