1699184416 NPI number — TURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENT, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699184416 NPI number — TURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699184416
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1644 S COLLEGE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT COLLINS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80525-1007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-221-0999
Provider Business Mailing Address Fax Number:
970-221-2727

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10431 N COUNTY ROAD 15
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT COLLINS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80524-8733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-232-3600
Provider Business Practice Location Address Fax Number:
970-232-3664
Provider Enumeration Date:
08/06/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
970-221-0999

Provider Taxonomy Codes

  • Taxonomy code: 320800000X , with the licence number:  1533947 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1533947 . This is a "COLORADO DEPARTMENT OF HUMAN SERVICES" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".