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Organization
TRINITY SUPPORT SERVICES LLC
Active
Organization
TRINITY SUPPORT SERVICES LLC
Active
Other names
Trinity Restoration Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE SALAAM SALAAM (PROGRAM DIRECTOR)
(336) 491-5423
Entity
Organization
Contact information
Practice address
1717 GAVIN DRIVE, HIGH POINT, NC 27260-5506
(336) 889-6905
(336) 889-6905
Mailing address
PO BOX 2532, BURLINGTON, NC 27216-2532
(336) 513-2204
(336) 513-2208
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-839
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-041-839
STATE LICENSE
NC
Enumeration date
12/05/2007
Last updated
09/15/2008
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