Triumph LLC
Community/Behavioral Health in Raleigh, NC. Organization (NPI-2).
NPI number1316200090
StatusActive
Last updated in NPPESJun 19, 2012
Details
- NPI
- 1316200090
- Entity type
- Organization (NPI-2)
- Legal business name
- Triumph LLC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2012
- Last updated
- Jun 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
5505 Creedmoor RdSte. 100
Raleigh, NC 27612-6352
Phone 919-852-5352 · Fax 919-852-5323
Mailing address
5505 Creedmoor RdSte. 100
Raleigh, NC 27612-6352
Authorized official
Gerald Enevoldsen
Program Director
9197714854
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