Organization
TRIAD THERAPY MENTAL HEALTH CENTER, LLC
Active
Organization
TRIAD THERAPY MENTAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINCY SMILING PH.D. (PRESIDENT/CEO)
(336) 629-7774
Entity
Organization
Contact information
Practice address
131B DAVIS ST, ASHEBORO, NC 27203-5470
(336) 629-7774
(336) 629-7776
Mailing address
131B DAVIS ST, ASHEBORO, NC 27203-5470
(336) 629-7774
(336) 629-7776
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302314H
—
NC
Enumeration date
10/05/2010
Last updated
10/05/2010
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