Organization
WILMINGTON TRAUMA CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RENGIFO (PRESIDENT)
(910) 777-7712
Entity
Organization
Contact information
Practice address
3825 MARKET ST STE 3, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Mailing address
3825 MARKET ST STE 3, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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