# TRIUMPH LLC

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

## Provider details

- **NPI number:** 1518279892
- **Authorized official:** HAROLD E JONES JR. (MEMBER MANAGER)
- **Authorized official phone:** (919) 256-0824

## Contact information

- **Practice address:** 2940 FALSTAFF RD, RALEIGH, NC 27610-1840
- **Practice address phone:** (919) 231-9717
- **Practice address fax:** (919) 231-9754
- **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-092-779 | NC | Yes |

## Other

- **Enumeration date:** 07/02/2010
- **Last updated:** 07/26/2010
