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Organization
THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS
Active
Organization
THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
200 ERMINE RD, WEST COLUMBIA, SC 29170
(803) 791-9918
Mailing address
200 ERMINE RD, WEST COLUMBIA, SC 29170
(803) 791-9918
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RTF0018
STATE LICENSE
SC
05
—
RTF004
—
SC
Enumeration date
06/19/2017
Last updated
06/19/2017
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