Organization
TRIAD CENTERS FOR YOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAYLAND ANTHONY OLIVER MBA (OWNER)
(336) 456-7705
Entity
Organization
Contact information
Practice address
11 GLENDALE OAKS CT, GREENSBORO, NC 27406-8221
(336) 456-7705
Mailing address
11 GLENDALE OAKS CT, GREENSBORO, NC 27406-8221
(336) 456-7705
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
041871
NC
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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