Basic Information
Provider Information
NPI: 1730358060
EntityType: 2
ReplacementNPI:  
OrganizationName: TURNING POINT
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3440 VIKING DR
Address2: 114
City: SACRAMENTO
State: CA
PostalCode: 958272844
CountryCode: US
TelephoneNumber: 9163648395
FaxNumber: 9163648094
Practice Location
Address1: 3440 VIKING DR
Address2: 114
City: SACRAMENTO
State: CA
PostalCode: 958272844
CountryCode: US
TelephoneNumber: 9163648395
FaxNumber: 9163648094
Other Information
ProviderEnumerationDate: 02/20/2008
LastUpdateDate: 02/20/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PERRYMAN
AuthorizedOfficialFirstName: KENDALL
AuthorizedOfficialMiddleName: O
AuthorizedOfficialTitleorPosition: SERVICE COORDINATOR
AuthorizedOfficialTelephone: 9
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
320900000X  Y Residential Treatment FacilitiesCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 

No ID Information.


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