# TRINITY WILL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trinity Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841498318
- **Authorized official:** MS. SHIRLEY MELINDA WILLIAMS (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (910) 533-2832

## Contact information

- **Practice address:** 875 WYNNE RD, CLINTON, NC 28328-5773
- **Practice address phone:** (910) 533-2832
- **Practice address fax:** (910) 533-2832
- **Mailing address:** PO BOX 618, CLINTON, NC 28329-0618
- **Mailing address phone:** (910) 533-2832
- **Mailing address fax:** (910) 533-2832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-082065 | NC | Yes |

## Other

- **Enumeration date:** 07/06/2007
- **Last updated:** 01/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604142 | — | NC |