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
500 MILLSTONE DR, STE 104 & 105, HILLSBOROUGH, NC 27278-9056
(919) 245-1056
(919) 245-0147
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-068-147
NC
Other
Enumeration date
08/13/2010
Last updated
09/27/2010
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