Provider Demographics
NPI:1538698980
Name:TRIAD MINISTRY INC
Entity Type:Organization
Organization Name:TRIAD MINISTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDDINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-655-1153
Mailing Address - Street 1:1104 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1327
Mailing Address - Country:US
Mailing Address - Phone:302-655-1153
Mailing Address - Fax:
Practice Address - Street 1:1104 N. ADAMS STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801
Practice Address - Country:US
Practice Address - Phone:302-655-1153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health