| 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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