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NPI Code Detail

MEDICARE: THREE RIVERS BEHAVIORAL HEALTH LLC

MEDICARE: THREE RIVERS BEHAVIORAL HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1891129797
Entity Type Code : Organization
Provider Name (Legal Business Name) : THREE RIVERS BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 200 ERMINE RD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29170-2024
Country : US
Telephone Number : 803-791-9918
Fax Number :
Provider Business Practice Location Address
First Line : 200 ERMINE RD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29170-2024
Country : US
Telephone Number : 803-791-9918
Fax Number :
Authorized Official
Title or Position : SR VP CFO
Name : STEVE FILTON
Credential :
Telephone Number : 610-768-3300
Provider Enumeration Date : 08/27/2013
Last Update Date : 08/27/2013

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