| NPI Details | |
|---|---|
| NPI | 1265741417 |
| Enumeration Date | 10/05/2010 |
| Last Updated | 10/05/2010 |
| Entity Type | Healthcare Provider |
| Active | Over 6 years ago |
| Authorized Information | |
|---|---|
| Name | QUINCY QUINCY |
| Position | PRESIDENT/CEO |
| Phone | (336) 629-7774 |
| Fax | (336) 629-7776 |
| Practice Location | |
|---|---|
| 131B DAVIS ST ASHEBORO NC, 27203-5470, US |
|
| Phone | (336) 629-7774 |
| Fax | (336) 629-7776 |
| Business Location | |
|---|---|
| 131B DAVIS ST ASHEBORO NC, 27203-5470, US |
|
| Phone | (336) 629-7774 |
| Fax | (336) 629-7776 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251B00000X |
| License State | |
| License Number | |
| Remove 1265741417 NPI Number | |
According to our database, Triad Therapy Mental Health Center, Llc NPI is 1265741417, taxonomy code is 251B00000X Triad Therapy Mental Health Center, Llc physically located at 131b Davis St, Asheboro NC, 27203-5470. NPI Number 1033115704 has the healthcare provider type.
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1265741417 NPI number is provided on an as is basis without warranty of any kind. 1265741417 is maintained by the National Plan & Provider Enumeration System. The contents of Triad Therapy Mental Health Center, Llc are for informational purposes only.
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