Organization
TRINITY BEHAVIORAL CARE - MARION OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNY BROCK (EXECUTIVE DIRECTOR)
(843) 423-8292
Entity
Organization
Contact information
Practice address
1305 N MAIN ST, MARION, SC 29571-2010
(843) 423-8292
Mailing address
PO BOX 1011, MARION, SC 29571-1011
(843) 423-8292
(843) 423-8294
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
—
AD20MD
—
SC
Enumeration date
12/13/2006
Last updated
07/24/2019
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