# TRIUMPH LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRIUMPH LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558417584
- **Legal business name:** TRIUMPH LLC
- **Authorized official:** HAROLD E JONES JR. (MEMBER MGR./OWNER)
- **Authorized official phone:** (919) 256-0824

## Contact information

- **Practice address:** 726 N CHERRY ST, WINSTON SALEM, NC 27101-1419
- **Practice address phone:** (336) 748-5400
- **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 |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 04/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8300861 | — | NC |
| 05 | — | 8300861S | — | NC |