Provider Demographics
NPI:1841586187
Name:THREE RIVERS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:THREE RIVERS BEHAVIORAL HEALTH LLC
Other - Org Name:THREE RIVERS BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-738-3300
Mailing Address - Street 1:2900 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3422
Mailing Address - Country:US
Mailing Address - Phone:803-796-9911
Mailing Address - Fax:
Practice Address - Street 1:2900 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3422
Practice Address - Country:US
Practice Address - Phone:803-796-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital