Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD E JONES JR. (MEMBER MGR/OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
60 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6304
(252) 537-6619
(252) 537-6786
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NC
1041C0700X
Clinical Social Worker
—
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NC
Other
Enumeration date
11/15/2011
Last updated
02/15/2012
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