Healthcare Provider Details

I. General information

NPI: 1447144563
Provider Name (Legal Business Name): TRUE NORTH RECOVERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 E BROADVIEW AVE
WASILLA AK
99654-8370
US

IV. Provider business mailing address

357 E PARKS HWY STE 100
WASILLA AK
99654-7005
US

V. Phone/Fax

Practice location:
  • Phone: 907-313-1333
  • Fax:
Mailing address:
  • Phone: 907-313-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ANN CARHART
Title or Position: MEDICAL INTEGRATION MANAGER
Credential:
Phone: 907-215-4995