TRIUMPH LLC

STATESVILLE, NC
NPI1710032966
Entity TypeOrganization
Authorized ContactBRENDA FRAZIER
Provider Enrollment Specialist
919-256-0824
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies1041C0700X Social Worker, Clinical
106H00000X Marriage & Family Therapist
Enumeration Date2007-01-25
Last Update Date2007-07-24
Business Address
TRIUMPH LLC
318 TURNERSBURG HWY
STATESVILLE, NC 28625-2798
Phone number: 704-873-1114
Mailing Address
TRIUMPH LLC
3210 FAIRHILL DR
RALEIGH, NC 27612-3220
Phone number: 919-256-0824