| Triumph Llc & Community Innovations, Inc. | |
|
725 Highland Ave 2nd Floor Winston Salem NC 27101-4206 | |
| (336) 607-8501 | |
| (336) 725-4030 |
| Full Name | Triumph Llc & Community Innovations, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 725 Highland Ave, Winston Salem, North Carolina |
| Authorized Official Name and Position | Harold E Jones (PRESIDENT) |
| Authorized Official Contact | 9192560824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumph Llc & Community Innovations, Inc. 3210 Fairhill Dr Raleigh NC 27612-3215 Ph: (919) 256-0824 | Triumph Llc & Community Innovations, Inc. 725 Highland Ave 2nd Floor Winston Salem NC 27101-4206 Ph: (336) 607-8501 |
| NPI Number | 1659692143 |
|---|---|
| Provider Enumeration Date | 06/18/2010 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659692143 | NPI | - | NPPES |
| 3410029 | Medicaid | NC | |
| 8703001 | Medicaid | NC |
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