# THREE RIVERS RESIDENTIAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902611148
- **Authorized official:** MR. KYLE SMALL (OWNER)
- **Authorized official phone:** (317) 372-6611

## Contact information

- **Practice address:** 4043 IRENE ST, WEST MIFFLIN, PA 15122-2069
- **Practice address phone:** (616) 446-0271
- **Mailing address:** 12037 LEIGHTON CT, CARMEL, IN 46032-7345
- **Mailing address phone:** (317) 372-6611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2025
- **Last updated:** 05/27/2025