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Organization
TRIAD CENTERS FOR YOUTH, INC.
Active
Organization
TRIAD CENTERS FOR YOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAYLAND ANTHONY OLIVER MBA (OWNER)
(336) 456-7705
Entity
Organization
Contact information
Practice address
11 GLENDALE OAKS CT, GREENSBORO, NC 27406-8221
(336) 456-7705
Mailing address
11 GLENDALE OAKS CT, GREENSBORO, NC 27406-8221
(336) 456-7705
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
041871
NC
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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