Provider Demographics
NPI:1912231432
Name:TURNING POINT YOUTH FACILITY
Entity Type:Organization
Organization Name:TURNING POINT YOUTH FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOVELLE
Authorized Official - Middle Name:AKIM
Authorized Official - Last Name:MCMICHAEL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:480-452-3674
Mailing Address - Street 1:11411 E BROADWAY RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-7928
Mailing Address - Country:US
Mailing Address - Phone:480-357-9153
Mailing Address - Fax:480-985-4066
Practice Address - Street 1:11411 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-7928
Practice Address - Country:US
Practice Address - Phone:480-357-9153
Practice Address - Fax:480-985-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH3414251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health