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Organization
TRUE FOUNDATION,LLC
Active
Organization
TRUE FOUNDATION,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL W. HURSE MSW,LADC,CAC,SAP (PROGRAM DIRECTOR)
(612) 203-9809
Entity
Organization
Contact information
Practice address
8557 WYOMING AVE N STE 6, BROOKLYN PARK, MN 55445-1847
(612) 203-9809
(763) 862-7005
Mailing address
8557 WYOMING AVE N STE 6, BROOKLYN PARK, MN 55445-1847
(612) 203-9809
(763) 862-7005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1044690-2CDT
MN
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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