Organization
TRINITY SUPPORT SERVICES LLC
Active
Other names
Trinity Restoration Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE SALAAM SALAAM (PROGRAM DIRECTOR)
(336) 491-5423
Entity
Organization
Contact information
Practice address
1717 GAVIN DRIVE, HIGH POINT, NC 27260-5506
(336) 889-6905
(336) 889-6905
Mailing address
PO BOX 2532, BURLINGTON, NC 27216-2532
(336) 513-2204
(336) 513-2208
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-839
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-041-839
STATE LICENSE
NC
Enumeration date
12/05/2007
Last updated
09/15/2008
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