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NPI Code Detail

MEDICARE: TRIAGE BEHAVIORAL HEALTH SYSTEMS

MEDICARE: TRIAGE BEHAVIORAL HEALTH SYSTEMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency
3251C00000XDevelopmentally Disabled Services Day Training Agency

Other Identifiers

General Provider Information

NPI Number : 1720132418
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIAGE BEHAVIORAL HEALTH SYSTEMS
Provider Business Mailing Address
First Line : 301 N MAIN ST STE 2500
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27101-3835
Country : US
Telephone Number : 336-722-3104
Fax Number : 336-397-0097
Provider Business Practice Location Address
First Line : 301 N MAIN ST STE 2500
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27101-3835
Country : US
Telephone Number : 336-722-3104
Fax Number : 336-397-0097
Authorized Official
Title or Position : DIRECTOR
Name : PATRICK LIVINGSTON
Credential :
Telephone Number : 336-722-3104
Provider Enumeration Date : 01/22/2007
Last Update Date : 09/11/2025

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