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Organization

TRIDENT BEHAVIORAL HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT ENGLAND (VP)
(843) 572-9800
Entity
Organization

Contact information

Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 572-9800
Mailing address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 572-9800

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3998
SC
Enumeration date
06/13/2006
Last updated
04/20/2008
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