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TRINITY TREATMENT CENTER INC NPI 1851538573


NPI Information

NPI: 1851538573
Provider Name: TRINITY TREATMENT CENTER, INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 11D1068568

Address:
1221 NEWBERG AVE
MACON, GA
ZIP 31206
Phone: (478) 788-5600
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TRINITY TREATMENT CENTER, INC is a methadone clinic center in Macon, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. TRINITY TREATMENT CENTER, INC NPI is 1851538573. The provider is registered as an organization entity type.

The provider's business location address is:

1221 NEWBERG AVE
MACON, GA
ZIP 31206-011
Phone: (478) 788-5600
Fax: (478) 788-5660

The provider's authorized official is Karine Alleyne .
The authorized official title is Program Administrator and has the following contact phone number (478) 788-5600.

The CLIA number assigned to this NPI record is 11D1068568 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 1/16/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadoneNTP001036GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1706654600AMEDICAIDGEORGIA

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: 4/28/2024

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