Provider Demographics
NPI:1356750962
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:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:BRUMLEY
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
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 1:913 11TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-3821
Practice Address - Country:US
Practice Address - Phone:970-313-4253
Practice Address - Fax:970-313-4251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-07
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1553624320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1553624OtherLICENSE NUMBER
CO9000215700Medicaid