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General NPI Number Information
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NPI Number | 1467779132
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Entity Type | Organization
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Legal Business Name | TRUE CARE ENTERPRISE
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 5511 RAMSEY STREET 201 D
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-1497
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Country | US
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Telephone | 910-884-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 5511 RAMSEY STREET 201 D
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-1497
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Country | US
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Telephone | 910-884-3089
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIZABETH SMITH
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Credential |
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Telephone | 910-884-3089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 149819
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License Number State | NC
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