Provider Demographics
NPI:1861254823
Name:TRU HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:TRU HEALTHCARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AKONG-NWI
Authorized Official - Middle Name:CLARA ANN
Authorized Official - Last Name:ZAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, CPRP, CFRP
Authorized Official - Phone:240-640-4522
Mailing Address - Street 1:704C NURSERY RD
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-1409
Mailing Address - Country:US
Mailing Address - Phone:240-640-4522
Mailing Address - Fax:
Practice Address - Street 1:704C NURSERY RD
Practice Address - Street 2:
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-1409
Practice Address - Country:US
Practice Address - Phone:240-640-4522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRU HEALTHCARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-25
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Single Specialty