WHITE DEER RUN LLC NPI 1326031022

NPI Information

  • NPI: 1326031022
  • Provider Name: WHITE DEER RUN, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 39D0900526
  • Address: 360 WHITE DEER RUN ROAD
    ALLENWOOD, PA
    ZIP 17810
  • Phone: (800) 255-2335

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NPI Details

WHITE DEER RUN, LLC is a community behavioral health in Allenwood, PA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WHITE DEER RUN, LLC NPI is 1326031022. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

360 WHITE DEER RUN ROAD
ALLENWOOD, PA
ZIP 17810-097
Phone: (800) 255-2335
Fax: (570) 538-5303

The provider's authorized official is Brian P Farley .
The authorized official title is Vp And Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 39D0900526 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2005 and was last updated on 6/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)800000177PENNSYLVANIANo
2103TA0400XPsychologistAddiction (Substance Use Disorder)800000177PENNSYLVANIANo
3261Q00000XClinic/Center800000177PENNSYLVANIANo
4261QR0405XClinic/CenterRehabilitation, Substance Use Disorder800000177PENNSYLVANIANo
5273Y00000XRehabilitation UnitNo
6282N00000XGeneral Acute Care HospitalNo
7324500000XSubstance Abuse Rehabilitation Facility800000177PENNSYLVANIANo
8251S00000XCommunity/Behavioral Health800000177PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007567870001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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