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White Deer Run, Inc
Substance Use Disorder Rehabilitation Clinic/Center in Erie, Pennsylvania
NPI 1952421968

White Deer Run, Inc is a Substance Use Disorder Rehabilitation Clinic/Center based in Erie, PA and is specialized in Rehabilitation, Substance Use Disorder. White Deer Run, Inc practices in Erie, PA. The NPI Number for White Deer Run, Inc is 1952421968 and holds a License No. 00257052 (Pennsylvania).

The current practice location address for White Deer Run, Inc is 1921 W 8Th St, Erie, PA and can be reached out via phone at 814-452-2291. You can also correspond with White Deer Run, Inc through the mailing address at 1921 W 8TH ST, ERIE, PA - 16505-4936 (mailing address contact number: 814-452-2291).

Location: 1921 W 8Th St, Erie, PA, 16505-4936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952421968
Provider Name
White Deer Run, Inc
Credential
Provider Entity Type
Organization
Address
1921 W 8Th St, Erie, PA, 16505-4936
Phone Number
814-452-2291
Fax Number
Provider Enumeration Date
03/31/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1007567870028 05 PA
1007567870089 05 PA
1007567870072 05 PA
institution
Provider Business Practice Location Address Details
Address
1921 W 8Th St
City
Erie
State
Pennsylvania
Zip
16505-4936
Phone Number
814-452-2291
Fax Number
person
Provider Business Mailing Address Details
Address
1921 W 8Th St
City
Erie
State
Pennsylvania
Zip
16505-4936
Phone Number
814-452-2291
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
00257052 (Pennsylvania)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
257052 (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
00257052 (Pennsylvania)
Definition
Definition to come...
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