Provider Demographics
NPI:1326368390
Name:TRG HEALTH CARE SYSTEMS LLC
Entity Type:Organization
Organization Name:TRG HEALTH CARE SYSTEMS LLC
Other - Org Name:ONECARE BEHAVIORAL HEALTH SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EULANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-925-3804
Mailing Address - Street 1:TRG HEALTH CARE SYSTEMS LLC
Mailing Address - Street 2:PO BOX 1207
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-1207
Mailing Address - Country:US
Mailing Address - Phone:919-925-3604
Mailing Address - Fax:919-925-3604
Practice Address - Street 1:112 WHEATON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:YOUNGSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27596
Practice Address - Country:US
Practice Address - Phone:919-925-3604
Practice Address - Fax:919-925-3604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty