Provider Demographics
NPI:1528365418
Name:TRUE BEHAVIORAL HEALTHCARE
Entity Type:Organization
Organization Name:TRUE BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CELINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:VILLAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-842-6357
Mailing Address - Street 1:2505 B COURT DRIVE
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2140
Mailing Address - Country:US
Mailing Address - Phone:704-842-6354
Mailing Address - Fax:704-842-6393
Practice Address - Street 1:918 WEST AVE NE
Practice Address - Street 2:STE 218
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5191
Practice Address - Country:US
Practice Address - Phone:704-842-6357
Practice Address - Fax:704-842-6393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management