1154911162 TRIAD OUTREACH LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
TRIAD OUTREACH LLC
Enumeration Date
January 23, 2021
Last Update
January 23, 2021
Authorized Official
KEVIN WALTON
OWNER
Phone: (336) 615-6738

Practice Location

Address
4533 VERNON CIR
KERNERSVILLE, NC 272840136
Phone
(336) 615-6738

Mailing Address

Address
4533 VERNON CIR
KERNERSVILLE, NC 272840136
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Addiction (Substance Use Disorder) Counselor
Addiction (Substance Use Disorder)
101YA0400X Counselor N/A N/A No
Clinical Social Worker
Clinical
1041C0700X Social Worker N/A N/A No
Adolescent Medicine (Family Medicine) Physician
Adolescent Medicine
207QA0000X Family Medicine N/A N/A No
Adult Medicine Physician
Adult Medicine
207QA0505X Family Medicine N/A N/A No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A No
Developmental Disabilities Clinic/Center
Developmental Disabilities
261QD1600X Clinic/Center N/A N/A No
Health Service Clinic/Center
Health Service
261QH0100X Clinic/Center N/A N/A No
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center N/A N/A No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center N/A N/A No
Children's Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children
3245S0500X Substance Abuse Rehabilitation Facility N/A N/A No
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care, Intellectual and/or Developmental Disabilities, Child
385HR2060X Respite Care N/A N/A No
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities N/A N/A Primary

Frequently Asked Questions

What is TRIAD OUTREACH LLC's NPI number?
TRIAD OUTREACH LLC's NPI number is 1154911162.
Which doctor has NPI number 1154911162?
The doctor with NPI number 1154911162 is TRIAD OUTREACH LLC.
What is TRIAD OUTREACH LLC's practice address?
TRIAD OUTREACH LLC's practice address is 4533 VERNON CIR, KERNERSVILLE, NC, 272840136.
Which doctor practices at 4533 VERNON CIR, KERNERSVILLE, NC, 272840136?
TRIAD OUTREACH LLC practices at 4533 VERNON CIR, KERNERSVILLE, NC, 272840136.
What is TRIAD OUTREACH LLC's phone number?
TRIAD OUTREACH LLC's phone number is (336) 615-6738.
Who is (336) 615-6738?
(336) 615-6738 is the phone number for TRIAD OUTREACH LLC.
What is TRIAD OUTREACH LLC's specialty?
TRIAD OUTREACH LLC's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is TRIAD OUTREACH LLC?
TRIAD OUTREACH LLC is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is TRIAD OUTREACH LLC a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, TRIAD OUTREACH LLC is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is TRIAD OUTREACH LLC still practicing?
Yes, TRIAD OUTREACH LLC is currently practicing.
Is TRIAD OUTREACH LLC accepting new patients?
TRIAD OUTREACH LLC may be accepting new patients. Please call their office at (336) 615-6738 to inquire about availability.
Is NPI 1154911162 still active?
Yes, NPI 1154911162 is currently active.
Where does TRIAD OUTREACH LLC practice?
TRIAD OUTREACH LLC practices in KERNERSVILLE, NC.