Organization Name: | TRIUMPH LLC |
NPI Number: | 1316008410 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAROLD JONES (MBR MGR) |
Mailing Address: | 189 Samaritan Ridge Road Elkin |
State: | NC US |
Postal Code: | 286212452 |
Phone Number: | 3365268335 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |