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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