| Turning Point Youth Services - Success Community School | |
|
14871 Road 192 Porterville CA 93257-9305 | |
| (559) 741-8162 | |
| (559) 636-2105 |
| Full Name | Turning Point Youth Services - Success Community School |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 14871 Road 192, Porterville, California |
| Authorized Official Name and Position | Jeff Fly (CHIEGE EXECUTIVE OFFICER) |
| Authorized Official Contact | 5597328086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Turning Point Youth Services - Success Community School 220 N Locust St Visalia CA 93291-4946 Ph: (559) 627-1385 | Turning Point Youth Services - Success Community School 14871 Road 192 Porterville CA 93257-9305 Ph: (559) 741-8162 |
| NPI Number | 1861619314 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861619314 | NPI | - | NPPES |
| 540007BN | Other | CA | ADP CERTIFICATION |
| 5478 | Other | CA | DRUG MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 540007BN (California) | Primary |
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