# TRINITY III, INC

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

## Provider details

- **NPI number:** 1194968628
- **Authorized official:** GWEN FOX (PRESIDENT)
- **Authorized official phone:** (704) 482-0901

## Contact information

- **Practice address:** 716 WEST GRAHAM STREET, SHELBY, NC 28150
- **Practice address phone:** (704) 482-0901
- **Mailing address:** PO BOX 477, SHELBY, NC 28150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL023088 | NC | Yes |

## Other

- **Enumeration date:** 04/14/2009
- **Last updated:** 04/14/2009