Organization
TRINITY BEHAVIORAL CARE DILLON OFFICE
Active
Parent organization
TRINITY BEHAVIORAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY BEHAVIORAL CARE
Authorized official
MR. WILLIAM T OCONNOR (EXECUTIVE DIRECTOR)
(843) 423-8292
Entity
Organization
Contact information
Practice address
204 MARTIN LUTHER KING JR BLVD, DILLON, SC 29536-3304
(843) 774-6591
(843) 774-1409
Mailing address
204 MARTIN LUTHER KING JR BLVD, DILLON, SC 29536-3304
(843) 774-6591
(843) 774-1409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
OTP-004
SC
251S00000X
Community/Behavioral Health Agency
Primary
OTP-004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD28DN
—
SC
Enumeration date
12/11/2006
Last updated
06/24/2008
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