Organization
TRINITY WILL GROUP
Active
Other names
Trinity Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY MELINDA WILLIAMS (ADMINISTRATIVE DIRECTOR)
(910) 533-2832
Entity
Organization
Contact information
Practice address
875 WYNNE RD, CLINTON, NC 28328-5773
(910) 533-2832
(910) 533-2832
Mailing address
PO BOX 618, CLINTON, NC 28329-0618
(910) 533-2832
(910) 533-2832
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-082065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604142
—
NC
Enumeration date
07/06/2007
Last updated
01/02/2008
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