Provider Demographics
NPI:1235818170
Name:TRUE NORTH
Entity Type:Organization
Organization Name:TRUE NORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BERT
Authorized Official - Suffix:
Authorized Official - Credentials:LISAC
Authorized Official - Phone:520-304-3389
Mailing Address - Street 1:4237 W INA RD STE 105
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2249
Mailing Address - Country:US
Mailing Address - Phone:520-304-3389
Mailing Address - Fax:
Practice Address - Street 1:4237 W INA RD STE 105
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2249
Practice Address - Country:US
Practice Address - Phone:520-304-3389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty