Basic Information
Provider Information
NPI: 1841328259
EntityType: 2
ReplacementNPI:  
OrganizationName: TURNING POINT CHILDREN YOUTH SERVICES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 516 N KAWEAH AVE
Address2:  
City: EXETER
State: CA
PostalCode: 932211200
CountryCode: US
TelephoneNumber: 5595944969
FaxNumber: 5595944308
Practice Location
Address1: 516 N KAWEAH AVE
Address2:  
City: EXETER
State: CA
PostalCode: 932211200
CountryCode: US
TelephoneNumber: 5595944969
FaxNumber: 5595944308
Other Information
ProviderEnumerationDate: 02/28/2007
LastUpdateDate: 01/16/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: LOPEZ
AuthorizedOfficialFirstName: SARAH
AuthorizedOfficialMiddleName: LEAL
AuthorizedOfficialTitleorPosition: LICENSED VOCATIONAL NURSE
AuthorizedOfficialTelephone: 5595944969
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: NONE
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
310500000XVN212725CAN Nursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness 
261QM0801XVN212725CAY Ambulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)

No ID Information.


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