Organization
TRIAD RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS M DORVAL LICSW (EXECUTIVE DIRECTOR)
(401) 626-0169
Entity
Organization
Contact information
Practice address
150 CHARLOIS BLVD STE 310, WINSTON SALEM, NC 27103-1549
(617) 417-5040
Mailing address
150 CHARLOIS BLVD STE 310, WINSTON SALEM, NC 27103-1549
(617) 417-5040
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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