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Organization
THREE RIVERS RESIDENTIAL CARE LLC
Active
Organization
THREE RIVERS RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE SMALL (OWNER)
(317) 372-6611
Entity
Organization
Contact information
Practice address
4043 IRENE ST, WEST MIFFLIN, PA 15122-2069
(616) 446-0271
Mailing address
12037 LEIGHTON CT, CARMEL, IN 46032-7345
(317) 372-6611
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/12/2025
Last updated
05/27/2025
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