Provider Demographics
NPI:1518795160
Name:TRUE NORTH RECOVERY INC
Entity type:Organization
Organization Name:TRUE NORTH RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-313-4566
Mailing Address - Street 1:357 E PARKS HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7005
Mailing Address - Country:US
Mailing Address - Phone:907-313-4566
Mailing Address - Fax:
Practice Address - Street 1:126 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5954
Practice Address - Country:US
Practice Address - Phone:907-313-1333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty