Organization
TRIAD THERAPY MENTAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINCY SMILING (PRESIDENT/CEO)
(336) 629-7774
Entity
Organization
Contact information
Practice address
131B DAVIS ST, ASHEBORO, NC 27203-5470
(336) 629-7774
(336) 629-7776
Mailing address
131B DAVIS ST, ASHEBORO, NC 27203-5470
(336) 629-7774
(336) 629-7776
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302314B
—
NC
05
—
8302846B
—
NC
Enumeration date
04/06/2010
Last updated
04/06/2010
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