Whalio Doctors

NPI 1154911162

Triad Outreach LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Kernersville, NC

Practice location

Address
4533 Vernon Cir, Kernersville, NC 27284-0136
Phone
(336) 615-6738

Authorised official

Name
Kevin Walton
Title
Owner
Phone
(336) 615-6738

Registered specialties (12)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Adolescent Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0000X
Adult Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0505X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Developmental Disabilities Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QD1600X
Health Service Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QH0100X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X
Child Intellectual and/or Developmental Disabilities Respite Care
Respite Care Facility Taxonomy 385HR2060X

Registry record

NPI
1154911162
Entity type
Organization
NPI issued
23 Jan 2021
Record last updated
23 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.