Organization
TRIAD BEHAVIORAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BOLTON MS, LPC (EXECUTIVE DIRECTOR)
(336) 389-1413
Entity
Organization
Contact information
Practice address
436 SPRING GARDEN ST, GREENSBORO, NC 27401-2734
(336) 389-1413
(336) 389-1416
Mailing address
436 SPRING GARDEN ST, GREENSBORO, NC 27401-2734
(336) 389-1413
(336) 389-1416
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MHL041686
NC
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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