Provider Demographics
NPI:1841071255
Name:COASTAL TURNING POINT INC.
Entity type:Organization
Organization Name:COASTAL TURNING POINT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSIA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:BLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, LPC
Authorized Official - Phone:831-234-2010
Mailing Address - Street 1:147 S RIVER ST STE 234A
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4556
Mailing Address - Country:US
Mailing Address - Phone:831-818-5963
Mailing Address - Fax:
Practice Address - Street 1:129 S RIVER ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4524
Practice Address - Country:US
Practice Address - Phone:831-234-2010
Practice Address - Fax:831-226-2123
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COASTAL TURNING POINT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children