Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Adolescent and Children Mental Health |
261QM0855X | |||
Assisted Living Facility |
310400000X | |||
Assisted Living, Behavioral Disturbances |
3104A0630X | |||
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Developmental Disabilities |
261QD1600X | |||
Health Service |
261QH0100X | |||
Nursing Care |
251J00000X | |||
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1629818521 |
| LBN Legal business name | TRIPPLE C INC. |
| Authorized official | SHARON OBIDE - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/29/2024 |
| Last updated | 05/21/2025 - More than a year ago |
| Identifiers | n/a |
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