# TRIAD COORDINATED SERVICES, INC.

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

## Provider details

- **NPI number:** 1356409544
- **Authorized official:** MRS. AMY PETITFILS BS, QP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 808-3490

## Contact information

- **Practice address:** 5009 HIGH POINT RD, GREENSBORO, NC 27407-6231
- **Practice address phone:** (336) 808-3490
- **Practice address fax:** (336) 808-3506
- **Mailing address:** 5009 HIGH POINT RD, GREENSBORO, NC 27407-6231
- **Mailing address phone:** (336) 808-3490
- **Mailing address fax:** (336) 808-3506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8301263 | — | NC |