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Organization
TRIUMPH LLC
Active
Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD ENEVOLDSEN JR. (PROGRAM DIRECTOR)
(919) 771-4854
Entity
Organization
Contact information
Practice address
5505 CREEDMOOR RD, STE. 100, RALEIGH, NC 27612-6352
(919) 852-5352
(919) 852-5323
Mailing address
5505 CREEDMOOR RD, STE. 100, RALEIGH, NC 27612-6352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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