Provider Demographics
NPI:1730872433
Name:TRUE NORTH RECOVERY
Entity type:Organization
Organization Name:TRUE NORTH RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REMOTE ASSESSOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELISE
Authorized Official - Middle Name:LEVET
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:907-313-1333
Mailing Address - Street 1:5670 BELMONT RD
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-9009
Mailing Address - Country:US
Mailing Address - Phone:901-574-8282
Mailing Address - Fax:
Practice Address - Street 1:591 S KNIK GOOSE BAY RD
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8062
Practice Address - Country:US
Practice Address - Phone:907-313-1333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health