| Triumph Llc | |
|
510 Dabney Dr Henderson NC 27536-3946 | |
| (252) 431-0072 | |
| (252) 431-0076 |
| Full Name | Triumph Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Dabney Dr, Henderson, North Carolina |
| Authorized Official Name and Position | Paul Caldwell (CEO) |
| Authorized Official Contact | 9194672433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumph Llc 3210 Fairhill Dr Raleigh NC 27612-3215 Ph: (919) 256-0824 | Triumph Llc 510 Dabney Dr Henderson NC 27536-3946 Ph: (252) 431-0072 |
| NPI Number | 1023154200 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023154200 | NPI | - | NPPES |
| 8300781G | Medicaid | NC | |
| 8300781B | Medicaid | NC | |
| 8300781 | Medicaid | NC | |
| 8300781H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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