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TRINITY BEHAVIORAL CARE NPI 1528121894


NPI Information

NPI: 1528121894
Provider Name: TRINITY BEHAVIORAL CARE

Doing Business As: FRESH START

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
5452B N HIGHWAY 501
MARION, SC
ZIP 29571
Phone: (843) 431-9225
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TRINITY BEHAVIORAL CARE is a substance abuse treatment and children substance abuse rehabilitation facility in Marion, SC. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. TRINITY BEHAVIORAL CARE NPI is 1528121894. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresh Start.

The provider's business location address is:

5452B N HIGHWAY 501
MARION, SC
ZIP 29571-095
Phone: (843) 431-9225
Fax: (843) 431-9203

The provider's authorized official is William T. O'connor .
The authorized official title is Executive Director and has the following contact phone number (843) 423-9292.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthITP-023SOUTH CAROLINANo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenITP-023SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AD20MDMEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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