Organization Name: | TRIUMPH LLC |
NPI Number: | 1497905350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAROLD E JONES (MEMBER MANAGER/OWNER) |
Mailing Address: | 288 East Street Suite 1002 Pittsboro |
State: | NC US |
Postal Code: | 273129759 |
Phone Number: | 9195421213 |
Fax Number: | 9195421290 |
NPI Enumeration Date: | 09/26/2008 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |