| Triumph Llc | |
|
5505 Creedmoor Rd Ste. 100 Raleigh NC 27612-6352 | |
| (919) 852-5352 | |
| (919) 852-5323 |
| Full Name | Triumph Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5505 Creedmoor Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Gerald Enevoldsen (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9197714854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumph Llc 5505 Creedmoor Rd Ste. 100 Raleigh NC 27612-6352 Ph: () - | Triumph Llc 5505 Creedmoor Rd Ste. 100 Raleigh NC 27612-6352 Ph: (919) 852-5352 |
| NPI Number | 1316200090 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316200090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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