Organization
TRU RECOVERY CENTER LLC
Active
Organization
TRU RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY VINCENT BLOOM CMPE (CHIEF EXECUTIVE OFFICER)
(480) 544-0283
Entity
Organization
Contact information
Practice address
10441 E THATCHER AVE, MESA, AZ 85212-8338
(480) 544-0283
Mailing address
10441 E THATCHER AVE, MESA, AZ 85212-8338
(480) 544-0283
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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