| Triumph Llc | |
|
351 Riverside Dr Suite 100 Mount Airy NC 27030-3850 | |
| (336) 783-6919 | |
| Not Available |
| Full Name | Triumph Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 351 Riverside Dr, Mount Airy, 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 351 Riverside Dr Suite 100 Mount Airy NC 27030-3850 Ph: (336) 783-6919 | Triumph Llc 351 Riverside Dr Suite 100 Mount Airy NC 27030-3850 Ph: (336) 783-6919 |
| NPI Number | 1679619852 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679619852 | NPI | - | NPPES |
| 8300776G | Medicaid | NC | |
| 8300776 | Medicaid | NC | |
| 8300776H | Medicaid | NC | |
| 8300776B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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