Triad Community Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRIAD COMMUNITY SERVICES, INC.

Practice address

1108 Grecade St
Greensboro, NC 27408-8729

Phone

(336) 510-7464

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Antoine Pryor

Title

Managing Director

Phone

(336) 510-7464

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1033398607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272820095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 GRECADE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088729",
            "telephone_number": "336-510-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "336-510-7464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triad Adult and Pediatric Medicine, Inc. (Family Medicine at Arlington Street)
• Triad Behavioral Resources
• Triad Breast Imaging Center, LLC (Novant Health Breast Imaging Center Greensboro)
• Triad Centers for Youth, Inc.
• Triad Child & Family Counseling, PLLC
• Triad Coordinated Services, Inc.
• Triad Coordinated Services, Inc.
• Triad Counseling & Clinical Service LLC (Triad Counseling & Clinical Services, LLC)
• Triad Dentistry
• Triad Eye Associates of Greensboro, OD PA

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.