| Trinity Innovative Programming Services, Inc. | |
|
100 Hay St Suite 1000 Fayetteville NC 28301-5676 | |
| (910) 677-0014 | |
| (910) 677-0013 |
| Full Name | Trinity Innovative Programming Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 Hay St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Darius Charell Monroe (PRESIDENT/CEO) |
| Authorized Official Contact | 9109773696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Innovative Programming Services, Inc. 100 Hay St Suite 1000 Fayetteville NC 28301-5676 Ph: (910) 677-0014 | Trinity Innovative Programming Services, Inc. 100 Hay St Suite 1000 Fayetteville NC 28301-5676 Ph: (910) 677-0014 |
| NPI Number | 1265697122 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265697122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6106619 (North Carolina) | Primary |
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