Provider Demographics
NPI:1396079703
Name:THE U-TURN FOUNDATION
Entity type:Organization
Organization Name:THE U-TURN FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELONY
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:OPHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:480-202-1000
Mailing Address - Street 1:5235 E SOUTHERN AVE # D106-606
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3626
Mailing Address - Country:US
Mailing Address - Phone:480-634-1163
Mailing Address - Fax:480-634-1952
Practice Address - Street 1:3707 E SOUTHERN AVE STE 1014
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-6201
Practice Address - Country:US
Practice Address - Phone:480-678-6069
Practice Address - Fax:480-634-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health