THREE RIVERS TREATMENT CENTER
NPI 1568827780
Psychiatric Residential Treatment Facility in Kenbridge, VA

Active since December 15, 2015CLIA 49D2063125 · Waiver
231 HICKORY RD, KENBRIDGE, VA 23944(434) 676-1378(804) 863-4626 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2022, Dec 15, 2015 (2 updates tracked since 2015).

  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 49D2063125
  • CLIA Cert. Type: Other - RESIDENTAL TREATMENT CTR
  • CLIA Exp. Date: 07-25-2027

About THREE RIVERS TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for Three Rivers Treatment Center, a provider established in Kenbridge, Virginia operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1568827780 assigned on December 2015. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Three Rivers Treatment Center. The authorized official of this NPI record is Mr. Anthony J Vadella (Managing Member)

NPI
1568827780 Verify this NPI
Provider Legal Name
THREE RIVERS TREATMENT CENTER LLC
Other Organization Name
THREE RIVERS TREATMENT CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
231 HICKORY RD KENBRIDGE, VA 23944
Location Phone
(434) 676-1378
Location Fax
(804) 863-4626
Mailing Address
269 MEDICAL PARK BLVD PETERSBURG, VA 23805
Mailing Phone
(804) 861-0700
Mailing Fax
(804) 863-4626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2015
Last Update Date
08-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License State
VA
Taxonomy Description
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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ANTHONY J VADELLA

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(804) 861-0700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2063125
Facility Type
Other - RESIDENTAL TREATMENT CTR
Certificate Effective Date
July 26, 2025
Certificate Expiration Date
July 25, 2027
Laboratory Director
KARIMA K. ELMADANY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Three Rivers Treatment Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for THREE RIVERS TREATMENT CENTER

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Residential Treatment Facility, Emotionally Disturbed Children
231 HICKORY RD
KENBRIDGE, VA 23944
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
231 HICKORY RD
KENBRIDGE, VA 23944
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
231 HICKORY RD
KENBRIDGE, VA 23944

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568827780, enumerated as an "organization" on December 15, 2015.

The provider is located at 231 HICKORY RD KENBRIDGE, VA 23944 and the phone number is (434) 676-1378.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.