Provider Demographics
NPI:1407660533
Name:THREE RIVERS BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:THREE RIVERS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP CLINICAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:JACHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-446-0271
Mailing Address - Street 1:12037 LEIGHTON CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7345
Mailing Address - Country:US
Mailing Address - Phone:616-446-0271
Mailing Address - Fax:
Practice Address - Street 1:4043 IRENE ST
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2069
Practice Address - Country:US
Practice Address - Phone:616-446-0271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital