| NPI | 1902926918 |
|---|---|
| Doing Business As | WHITE DEER RUN OF WILLIAMSPORT |
| Entity Type | Organization |
| Authorized Contact | TOM CALLAHAN Regional Vice President 800-873-2131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: PA 417030) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: PA 417030) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2015-07-30 |