Triad Youth Services, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-041-853 Issued in NC

Legal business name

TRIAD YOUTH SERVICES, INC

Practice address

1609 Zelma Ave
High Point, NC 27265-3356

Phone

(336) 883-8619

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Marie McManus

Title

President

Phone

(336) 889-4532

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200182400000",
    "number": "1376732404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 ZELMA AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653356",
            "telephone_number": "336-883-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 ZELMA AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653356",
            "telephone_number": "336-883-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD YOUTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-01-13",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-889-4532"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triad Pediatrics, PC
• Triad Primary Health and Wellness, PLLC
• Triad Women'S Center PA
• Triad Women'S Health and Wellness Center
• Triad Women'S Health and Wellness Center
• Isabella Trichilo, OTR
• Maura L. Trimble, RN BSN
• Ryan Michel Trimble, MD
• Trinity Support Services LLC
• Patricia F. Triplett, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in High Point, NC
• Providers in High Point, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2008; 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.