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General NPI Number Information
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NPI Number | 1265722045
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Entity Type | Organization
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Legal Business Name | TRUE VISIONS
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 1825 SUMTER ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2501
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Country | US
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Telephone | 704-858-3873
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Fax | 704-547-0887
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Provider Business Mailing Address
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Address Line | 3013 GRANDE HEIGHTS DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-7022
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Country | US
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Telephone | 704-858-3873
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Fax | 704-547-0887
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Authorized Official
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Title or Position | OWNER
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Name | MR. WAYLON D HINSON
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Credential |
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Telephone | 704-858-3873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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