Provider Demographics
NPI:1891096624
Name:TRIAGE BEHAVIORAL HEALTH AND HUMAN SERVICES, LLC
Entity Type:Organization
Organization Name:TRIAGE BEHAVIORAL HEALTH AND HUMAN SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-414-7504
Mailing Address - Street 1:1 E BROWARD BLVD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1806
Mailing Address - Country:US
Mailing Address - Phone:336-414-7504
Mailing Address - Fax:
Practice Address - Street 1:1 E BROWARD BLVD
Practice Address - Street 2:SUITE 700
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1806
Practice Address - Country:US
Practice Address - Phone:336-414-7504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management