Organization
TRIAD YOUTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MCMANUS (PRESIDENT)
(336) 889-4532
Entity
Organization
Contact information
Practice address
1609 ZELMA AVE, HIGH POINT, NC 27265-3356
(336) 883-8619
Mailing address
1609 ZELMA AVE, HIGH POINT, NC 27265-3356
(336) 883-8619
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-853
NC
Other
Enumeration date
10/15/2007
Last updated
01/13/2008
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