Provider Demographics
NPI:1891129797
Name:THREE RIVERS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:THREE RIVERS BEHAVIORAL HEALTH LLC
Other - Org Name:THREE RIVERS BEHAVIORAL HEALTH MIDLANDS CAMPUS
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:610-768-3300
Mailing Address - Street 1:200 ERMINE RD
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29170-2024
Mailing Address - Country:US
Mailing Address - Phone:803-791-9918
Mailing Address - Fax:
Practice Address - Street 1:200 ERMINE RD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-2024
Practice Address - Country:US
Practice Address - Phone:803-791-9918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)