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Organization
SAGUARO GROUP LLC DBA TRIUMPH
Active
Organization
SAGUARO GROUP LLC DBA TRIUMPH
Active
Other names
Triumph LLC & Community Innovations, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E JONES JR. (PRESIDENT)
(919) 256-0824
Entity
Organization
Contact information
Practice address
725 HIGHLAND AVE, 2ND FLOOR, WINSTON SALEM, NC 27101-4206
(336) 607-8501
(336) 725-4030
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410029
—
NC
05
—
8703001
—
NC
Enumeration date
06/18/2010
Last updated
07/18/2012
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