# TRUE OUTREACH

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

## Provider details

- **NPI number:** 1720648082
- **Authorized official:** LADONNA CLARK (THERAPIST)
- **Authorized official phone:** (919) 306-0809

## Contact information

- **Practice address:** 833 WAKE FOREST BUSINESS PARK STE G, WAKE FOREST, NC 27587-7184
- **Practice address phone:** (919) 306-0809
- **Mailing address:** 4215 VIEWMONT DR, RALEIGH, NC 27610-5330
- **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 | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 06/19/2019
- **Last updated:** 08/21/2019