Organization
TRINITY TREATMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARINE ALLEYNE R.PH (PROGRAM ADMINISTRATOR)
(478) 788-5600
Entity
Organization
Contact information
Practice address
1221 NEWBERG AVE, MACON, GA 31206-3011
(478) 788-5600
(478) 788-5660
Mailing address
PO BOX 3613, MACON, GA 31205-3613
(478) 788-5600
(478) 788-5660
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
NTP001036
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
706654600A
—
GA
Enumeration date
01/16/2009
Last updated
01/16/2009
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