Provider Demographics
NPI:1922328913
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:
Authorized Official - First Name:CELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-842-6357
Mailing Address - Street 1:2505 COURT DR
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 1:910 ROBERTS DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-5804
Practice Address - Country:US
Practice Address - Phone:704-866-8751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-036-004251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services