Provider Demographics
NPI:1447966858
Name:TRIANGLE COMMUNITY INTERVENTIONS
Entity type:Organization
Organization Name:TRIANGLE COMMUNITY INTERVENTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-672-5815
Mailing Address - Street 1:PO BOX 3334
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-0334
Mailing Address - Country:US
Mailing Address - Phone:919-672-5815
Mailing Address - Fax:
Practice Address - Street 1:236 N MEBANE ST STE 260
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-3948
Practice Address - Country:US
Practice Address - Phone:336-270-5302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health