RANDALL WHITE

MAYS LANDING, NJ
NPI1811511694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NJ  37LC00246700)
Enumeration Date2020-06-08
Last Update Date2020-06-08
Business Address
RANDALL WHITE LCADC
5034 ATLANTIC AVE
MAYS LANDING, NJ 08330-2022
Phone number: 855-740-1921
Mailing Address
RANDALL WHITE LCADC
2701 RENAISSANCE BLVD FL 4
KING OF PRUSSIA, PA 19406-2781
Phone number: 484-803-9663