White Haven Center

NPI #1871514620 in White Haven, Pennsylvania

Provider Information

NPI Number
1871514620
Entity Type
Organization
Organization Name
White Haven Center
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jul 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
827 OLEY VALLEY RD
ZIP Code
18661-3043
Phone
(570) 443-4326

Authorized Official

Name
DR. ASMITA C SHAH, M.D.
Title
SUPERVISORY PHYSICIAN
Phone
(570) 443-4326

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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