Organization
TRIUMPH HEALTH & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVERNE JOHNSON (CEO)
(410) 402-3311
Entity
Organization
Contact information
Practice address
5600 HARFORD RD 1ST AND 2ND FLOORS, BALTIMORE, MD 21214-2266
(410) 402-3311
Mailing address
5600 HARFORD RD 1ST AND 2ND FLOORS, BALTIMORE, MD 21214-2266
(410) 402-3311
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/29/2022
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