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WHITE DEER RUN LLC NPI 1659570299


NPI Information

NPI: 1659570299
Provider Name: WHITE DEER RUN, LLC

Doing Business As: WHITE DEER RUN OF YORK

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 39D1076377

Address:
106 DAVIES DR
YORK, PA
ZIP 17402
Phone: (800) 255-2335
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WHITE DEER RUN, LLC is a community behavioral health in York, 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 1659570299. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As White Deer Run Of York.

The provider's business location address is:

106 DAVIES DR
YORK, PA
ZIP 17402
Phone: (800) 255-2335

The provider's authorized official is Christopher Howard .
The authorized official title is Vice President And Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 39D1076377 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 1/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)3736092PENNSYLVANIANo
2103TA0400XPsychologistAddiction (Substance Use Disorder)3736092PENNSYLVANIANo
3261Q00000XClinic/Center3736092PENNSYLVANIANo
4324500000XSubstance Abuse Rehabilitation FacilityNo
5251S00000XCommunity/Behavioral Health3736092PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007567870085MEDICAIDPENNSYLVANIA
2100756787MEDICAIDPENNSYLVANIA

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: 4/28/2024

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