Organization
TRINITY III FAMILY OUTREACH
Active
Other names
Trinity111
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY RICHARD FOX B.S (PRESIDENT)
(804) 931-8910
Entity
Organization
Contact information
Practice address
108 SPRUANCE RD, DOVER, DE 19901-4051
(804) 931-8910
(804) 931-8910
Mailing address
1501 LITTLE GLOUCESTER RD APT F2, BLACKWOOD, NJ 08012-3445
(804) 931-5910
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301206
—
NC
Enumeration date
02/11/2009
Last updated
08/05/2011
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