Organization
TRI PLEX INDUSTRIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BROOKS (CEO)
(980) 406-3586
Entity
Organization
Contact information
Practice address
9635 SOUTHERN PINE BLVD STE 154, CHARLOTTE, NC 28273-5564
(980) 406-3586
(888) 854-8514
Mailing address
8116 S TRYON ST STE 11, CHARLOTTE, NC 28273-4300
(888) 854-8514
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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