Organization
TRULOVECOMMUNITYCENTER
Active
Other names
TruLoveCommunityCenter
Organization subpart
No
Provider details
NPI number
Authorized official
CLESTER VERA MARTIN BILLING/CODING (OWNER)
(775) 745-8276
Entity
Organization
Contact information
Practice address
6617 S 57TH AVE, LAVEEN, AZ 85339-2255
(775) 745-8276
Mailing address
50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101-2027
(775) 745-8276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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