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Organization
TRI STAR LLC.
Active
Organization
TRI STAR LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA SPAULDING (CFO)
(336) 283-9441
Entity
Organization
Contact information
Practice address
648 EAST MONMOUTH STREET, WINSTON SALEM, NC 27107-3227
(336) 283-9441
Mailing address
648 E MONMOUTH ST, WINSTON SALEM, NC 27107-3227
(336) 283-9441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
034290
NC
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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