Healthcare Provider Details
I. General information
NPI: 1942829460
Provider Name (Legal Business Name): TRUE NORTH RECOVERY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2020
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2650 E BROADVIEW AVE
WASILLA AK
99654-8302
US
IV. Provider business mailing address
357 E PARKS HWY STE 100
WASILLA AK
99654-7005
US
V. Phone/Fax
- Phone: 907-313-1333
- Fax: 907-357-8781
- Phone: 907-313-1333
- Fax: 907-313-4566
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
ANN
CARHART
Title or Position: MEDICAL INTEGRATION MANAGER
Credential:
Phone: 907-215-4995