Triad Outreach Llc

LBN: Triad Outreach Llc
Triad Outreach Llc is an health care organization with primary practice located at 4533 Vernon Cir , Kernersville NC 27284-0136. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Substance Abuse Treatment, Children, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Triad Outreach Llc can be contacted via phone (336) 615-6738, or through Walton, Kevin via phone (336) 615-6738.

Contact Information

Primary practice address
4533 Vernon Cir Kernersville NC 27284-0136
Phone: (336) 615-6738
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walton, Kevin
Phone: (336) 615-6738

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1154911162
LBN Legal business name Triad Outreach Llc
DBA Doing business as
Authorized official Walton, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2021
Last updated Jan 23rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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