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Organization
TRIUMPH BEHAVIORAL HEALTH LLC
Active
Organization
TRIUMPH BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADONACA BARRETT CRNP (NURSE PRACTITIONER)
(410) 747-2527
Entity
Organization
Contact information
Practice address
1009 FREDERICK RD, CATONSVILLE, MD 21228-5055
(410) 747-2527
Mailing address
5204 HARVEY LN, ELLICOTT CITY, MD 21043-6857
(410) 747-2527
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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