Trinity Services INC.
Community/Behavioral Health in Mascoutah, IL. Organization (NPI-2).
NPI number1982245312
StatusActive
Last updated in NPPESMay 20, 2020
Details
- NPI
- 1982245312
- Entity type
- Organization (NPI-2)
- Legal business name
- Trinity Services INC.
- Organization subpart
- Yes
- Enumeration date
- Oct 7, 2019
- Certification date
- May 20, 2020
- Last updated
- May 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
522 E Main StMascoutah, IL 62258-2240
Phone 618-566-0313
Mailing address
301 Veterans PkwyNew Lenox, IL 60451-2899
Phone 815-485-6197
Authorized official
Bob Taylor
Cfo
8153207190
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