# TRIUMPH LLC

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

## Provider details

- **NPI number:** 1487969549
- **Authorized official:** HAROLD E JONES JR. (MEMBER MGR./OWNER)
- **Authorized official phone:** (919) 256-0824

## Contact information

- **Practice address:** 500 MILLSTONE DR, STE 104 & 105, HILLSBOROUGH, NC 27278-9056
- **Practice address phone:** (919) 245-1056
- **Practice address fax:** (919) 245-0147
- **Mailing address:** 3210 FAIRHILL DR, RALEIGH, NC 27612-3215
- **Mailing address phone:** (919) 256-0824
- **Mailing address fax:** (919) 256-0833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | MHL-068-147 | NC | Yes |

## Other

- **Enumeration date:** 08/13/2010
- **Last updated:** 09/27/2010