# THE WHITE HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558521773
- **Authorized official:** JACQUELYN D VAUGHN (OWNER)
- **Authorized official phone:** (248) 682-0773

## Contact information

- **Practice address:** 5466 GREENBRIAR DR, WEST BLOOMFIELD, MI 48323-2328
- **Practice address phone:** (248) 682-0773
- **Practice address fax:** (248) 682-0912
- **Mailing address:** 5466 GREENBRIAR DR, WEST BLOOMFIELD, MI 48323-2328
- **Mailing address phone:** (248) 682-0773
- **Mailing address fax:** (248) 682-0912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 630279828 | MI | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 06/11/2008