Provider Demographics
NPI:1134428873
Name:TRANQUILITY
Entity type:Organization
Organization Name:TRANQUILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:GATSON
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-500-3245
Mailing Address - Street 1:205B W HANOVER RD
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-1723
Mailing Address - Country:US
Mailing Address - Phone:336-500-3245
Mailing Address - Fax:336-449-9923
Practice Address - Street 1:205B W HANOVER RD
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-1723
Practice Address - Country:US
Practice Address - Phone:336-500-3245
Practice Address - Fax:336-449-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health