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Organization
TRIAD THERAPY MENTAL HEALTH CENTER
Active
Organization
TRIAD THERAPY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINCY SMILING PHD (PRESIDENT/CEO)
(336) 896-0904
Entity
Organization
Contact information
Practice address
315 MAIN ST, N WILKESBORO, NC 28659-4401
(336) 990-9252
Mailing address
350 N COX ST STE 16, ASHEBORO, NC 27203-5514
(336) 629-7774
(336) 629-7776
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
641001
—
NC
Enumeration date
02/21/2008
Last updated
09/02/2020
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