| Triumph, Llc | |
|
909 S Main St Suite A Burlington NC 27215-5756 | |
| (336) 229-5905 | |
| (336) 229-5906 |
| Full Name | Triumph, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 909 S Main St, Burlington, North Carolina |
| Authorized Official Name and Position | Harold E Jones (MEMBER MANAGER/OWNER) |
| Authorized Official Contact | 9192860824 |
| 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 909 S Main St Suite A Burlington NC 27215-5756 Ph: (336) 229-5905 |
| NPI Number | 1770639718 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 11/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770639718 | NPI | - | NPPES |
| 8300785B | Medicaid | NC | |
| 8300785G | Medicaid | NC | |
| 8300785 | Medicaid | NC | |
| 8300785V | Medicaid | NC | |
| 8300785H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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