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General NPI Number Information
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NPI Number | 1194518837
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Entity Type | Organization
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Legal Business Name | TRUE NORTH RESET RECOVERY
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 15717 N POPPY ST
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City | EL MIRAGE
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State | AZ
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Zip | 85335-6924
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Country | US
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Telephone | 602-405-8913
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Fax |
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Provider Business Mailing Address
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Address Line | 15717 N POPPY ST
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City | EL MIRAGE
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State | AZ
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Zip | 85335-6924
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Country | US
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Telephone | 602-405-8913
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Fax |
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Authorized Official
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Title or Position | CERTIFIED PEER SUPPORT
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Name | MRS. ARLENE LEE DEL PONTE
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Credential | BHT
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Telephone | 602-405-8913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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