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Organization
TRINITY BEHAVIORAL HEALTH CENTER INC
Active
Organization
TRINITY BEHAVIORAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICKLE (PRESIDENT)
(919) 488-7139
Entity
Organization
Contact information
Practice address
11550 COMMON OAKS DR, SUITE 108, RALEIGH, NC 27614-7298
(919) 488-7139
Mailing address
11550 COMMON OAKS DR, SUITE 200, RALEIGH, NC 27614-7298
(919) 488-7139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
NULL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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