Basic Information
Provider Information
NPI: 1225546773
EntityType: 2
ReplacementNPI:  
OrganizationName: TURNING POINTS RECOVERY SERVICES INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 389 SW SCALEHOUSE CT STE 130
Address2:  
City: BEND
State: OR
PostalCode: 977023241
CountryCode: US
TelephoneNumber: 5413064446
FaxNumber: 5415502011
Practice Location
Address1: 1145 NE ELM STREET
Address2:  
City: PRINEVILLE
State: OR
PostalCode: 977549775
CountryCode: US
TelephoneNumber: 5413064566
FaxNumber: 5413209005
Other Information
ProviderEnumerationDate: 01/18/2018
LastUpdateDate: 08/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MILLER
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 5414808876
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: TURNING POINTS RECOVERY SERVICES INC.
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: CADC I
NPICertificationDate: 07/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QR0405X  Y Ambulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder

No ID Information.


Home