# TRUE OUTREACH PROGRAM SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184457475
- **Authorized official:** MS. LADONNA CLARK LCAS, CCS, SAP (PROGRAM MANAGER)
- **Authorized official phone:** (919) 306-0809

## Contact information

- **Practice address:** 2949 NEW BERN AVE STE 109B, RALEIGH, NC 27610-1248
- **Practice address phone:** (919) 306-0809
- **Practice address fax:** (919) 212-8158
- **Mailing address:** 2949 NEW BERN AVE STE 109B, RALEIGH, NC 27610-1248
- **Mailing address phone:** (919) 306-0809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 08/22/2024
