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Organization
TRIUMPH LLC
Active
Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CALDWELL (CEO)
(919) 467-2433
Entity
Organization
Contact information
Practice address
725 N 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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300774
—
NC
05
—
8300774B
—
NC
05
—
8300774G
—
NC
05
—
8300774H
—
NC
05
—
8300774V
—
NC
Enumeration date
01/25/2007
Last updated
08/03/2010
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