| The Triumphant Academy | |
|
6109 Calaboose Ln Fort Mill SC 29707-1569 | |
| (803) 357-4041 | |
| Not Available |
| Full Name | The Triumphant Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6109 Calaboose Ln, Fort Mill, South Carolina |
| Authorized Official Name and Position | Rashan Thornton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8033574041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Triumphant Academy 6109 Calaboose Ln Fort Mill SC 29707-1569 Ph: (803) 357-4041 | The Triumphant Academy 6109 Calaboose Ln Fort Mill SC 29707-1569 Ph: (803) 357-4041 |
| NPI Number | 1427696095 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427696095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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