| Trinity Behavioral Care Dillon Office | |
|
204 Martin Luther King Jr Blvd Dillon SC 29536-3304 | |
| (843) 774-6591 | |
| (843) 774-1409 |
| Full Name | Trinity Behavioral Care Dillon Office |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 204 Martin Luther King Jr Blvd, Dillon, South Carolina |
| Authorized Official Name and Position | William T Oconnor (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 Dillon Office 204 Martin Luther King Jr Blvd Dillon SC 29536-3304 Ph: (843) 774-6591 | Trinity Behavioral Care Dillon Office 204 Martin Luther King Jr Blvd Dillon SC 29536-3304 Ph: (843) 774-6591 |
| NPI Number | 1740340801 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740340801 | NPI | - | NPPES |
| AD28DN | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | OTP-004 (South Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | OTP-004 (South Carolina) | Primary |
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