Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E JONES JR. (MEMBER MANAGER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
2940 FALSTAFF RD, RALEIGH, NC 27610-1840
(919) 231-9717
(919) 231-9754
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-092-779
NC
Other
Enumeration date
07/02/2010
Last updated
07/26/2010
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