Provider Demographics
NPI:1821202227
Name:TURNING POINT OF CENTRAL CALIFORNIA INC.
Entity Type:Organization
Organization Name:TURNING POINT OF CENTRAL CALIFORNIA INC.
Other - Org Name:KENNEMER RESIDENTIAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:559-732-8086
Mailing Address - Street 1:1100 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307-1051
Mailing Address - Country:US
Mailing Address - Phone:661-861-6111
Mailing Address - Fax:661-861-6161
Practice Address - Street 1:1100 UNION AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307-1051
Practice Address - Country:US
Practice Address - Phone:661-861-6111
Practice Address - Fax:661-861-6161
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TURNING POINT OF CENTRAL CALIFORNIA INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-09
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150013BN324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA151541OtherPROVIDER NUMBER