Organization
TRIUMPH LLC
Active
Parent organization
TRIUMPH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIUMPH LLC
Authorized official
MR. HAROLD E JONES JR. (MEMBER MGR./OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
232 NEWSOME RD, KING, NC 27021-8507
(336) 983-0941
(336) 983-0958
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906593
—
NC
Enumeration date
04/17/2007
Last updated
04/24/2009
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