Healthcare Provider Details
I. General information
NPI: 1578810800
Provider Name (Legal Business Name): TRUE CARE- METROPLEX
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2012
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
531 METROPLEX DR SUITE 204
NASHVILLE TN
37211-3169
US
IV. Provider business mailing address
531 METROPLEX DR SUITE 204
NASHVILLE TN
37211-3169
US
V. Phone/Fax
- Phone: 615-360-1899
- Fax: 615-360-1897
- Phone: 615-360-1899
- Fax: 615-360-1897
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | I000000010956 |
| License Number State | TN |
VIII. Authorized Official
Name: MS.
ERICA
RENEE
MCWILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-360-1897