Provider Demographics
NPI:1053764753
Name:TRIANGLE J COUNCIL OF GOVERNMENTS
Entity type:Organization
Organization Name:TRIANGLE J COUNCIL OF GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:WORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:919-558-9395
Mailing Address - Street 1:4307 EMPEROR BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8080
Mailing Address - Country:US
Mailing Address - Phone:919-549-0551
Mailing Address - Fax:919-549-9390
Practice Address - Street 1:4307 EMPEROR BLVD STE 110
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8080
Practice Address - Country:US
Practice Address - Phone:919-549-0551
Practice Address - Fax:919-549-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage