Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E JONES JR. (MEMBER MGR/ OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
817 MEADOWBROOK DR, KING, NC 27021-8248
(336) 985-3224
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MHL-085-035
NC
Other
Enumeration date
07/29/2010
Last updated
09/02/2010
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