Triad Centers for Youth, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

041871 Issued in NC

Legal business name

TRIAD CENTERS FOR YOUTH, INC.

Practice address

11 Glendale Oaks CT
Greensboro, NC 27406-8221

Phone

(336) 456-7705

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By 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. Gayland Anthony Oliver, MBA

Title

Owner

Phone

(336) 456-7705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1619123189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GLENDALE OAKS CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068221",
            "telephone_number": "336-456-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GLENDALE OAKS CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068221",
            "telephone_number": "336-456-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD CENTERS FOR YOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "GAYLAND",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-456-7705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "041871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triad Adult and Pediatric Medicine, Inc.
• Triad Adult and Pediatric Medicine, Inc. (Guilford Child Health-Spring Valley)
• 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 Child & Family Counseling, PLLC
• Triad Community Services, Inc.
• Triad Coordinated Services, Inc.
• Triad Coordinated Services, Inc.
• Triad Counseling & Clinical Service LLC (Triad Counseling & Clinical Services, LLC)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, 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 Aug 14, 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.