Provider Demographics
NPI:1699184416
Name:TURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENT, INC.
Entity Type:Organization
Organization Name:TURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENT, INC.
Other - Org Name:WAVERLY
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-221-0999
Mailing Address - Street 1:1644 S COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1007
Mailing Address - Country:US
Mailing Address - Phone:970-221-0999
Mailing Address - Fax:970-221-2727
Practice Address - Street 1:10431 N COUNTY ROAD 15
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-8733
Practice Address - Country:US
Practice Address - Phone:970-232-3600
Practice Address - Fax:970-232-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1533947320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1533947OtherCOLORADO DEPARTMENT OF HUMAN SERVICES