Basic Information
| Provider Information | |||||||||
| NPI: | 1801979786 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TURNING POINT COMMUNITY PROGRAMS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3161 DWIGHT RD | ||||||||
| Address2: | |||||||||
| City: | ELK GROVE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 957586456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164277141 | ||||||||
| FaxNumber: | 9164277122 | ||||||||
| Practice Location | |||||||||
| Address1: | 3161 DWIGHT RD | ||||||||
| Address2: | |||||||||
| City: | ELK GROVE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 957586456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164277141 | ||||||||
| FaxNumber: | 9164277122 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/23/2006 | ||||||||
| LastUpdateDate: | 01/05/2021 | ||||||||
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| AuthorizedOfficialLastName: | ROWLETT | ||||||||
| AuthorizedOfficialFirstName: | AL | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 1693648395 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | TURNING POINT COMMUNITY PROGRAMS | ||||||||
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| NPICertificationDate: | 01/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | CO90020090 | CA | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.