Organization
TRINITY III FAMILY OUTREACH
Active
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
Update your record
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