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Organization
TRIUMPH, LLC
Active
Organization
TRIUMPH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONY HODGE P-LCSW (DAY TREATMENT THERAPIST)
(919) 245-3062
Entity
Organization
Contact information
Practice address
500 MILLSTONE DR, HILLSBOROUGH, NC 27278-9055
(919) 245-3062
Mailing address
500 MILLSTONE DR, HILLSBOROUGH, NC 27278-9055
(919) 245-3062
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P005751
NC
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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