Organization
TRIAD HEALTH CARE SERVICES #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON KEITH WHITE (OWNER)
(919) 672-5815
Entity
Organization
Contact information
Practice address
603 PINNIX RD, BURLINGTON, NC 27217-8555
(336) 280-0426
Mailing address
PO BOX 3334, BURLINGTON, NC 27215-0334
(919) 672-5815
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-001-124
NC
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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