Trinity Behavioral Care - Marlboro Office | |
211 N. Marlboro St. Bennettsville SC 29512-1053 | |
(843) 479-5683 | |
(843) 479-5685 |
Full Name | Trinity Behavioral Care - Marlboro Office |
---|---|
Speciality | Community/behavioral Health |
Location | 211 N. Marlboro St., Bennettsville, South Carolina |
Authorized Official Name and Position | William T. O'connor (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8434238292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trinity Behavioral Care - Marlboro Office Po Box 1053 Bennettsville SC 29512-1053 Ph: (843) 479-5683 | Trinity Behavioral Care - Marlboro Office 211 N. Marlboro St. Bennettsville SC 29512-1053 Ph: (843) 479-5683 |
NPI Number | 1497817613 |
---|---|
Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497817613 | NPI | - | NPPES |
AD19ML | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | OTP-004 (South Carolina) | Primary |
251S00000X | Community/behavioral Health | OTP-004 (South Carolina) | Primary |
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