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49D2063125 CLIA NUMBER - THREE RIVERS TREATMENT CENTER

Laboratory Demographics

CLIA Number: 49D2063125

Facility Name: THREE RIVERS TREATMENT CENTER

Facility Address:
231 HICKORY ROAD
KENBRIDGE, VA
ZIP 23944
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Facility Phone Number: 434 676-1378

Facility Type: Other - RESIDENTAL TREATMENT CTR

Certificate Type: Waiver
NPI Number: 1568827780

Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

CLIA Record

Field Name Field Value
CLIA Number 49D2063125
LAB Type Other - RESIDENTAL TREATMENT CTR
Facility Name THREE RIVERS TREATMENT CENTER
Street 231 HICKORY ROAD
City KENBRIDGE
State VA
ZIP 23944
Phone 434 676-1378
CertificateType 4
CertificateEffectiveDate 7/26/2023
CertificateExpirationDate 7/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024