# WHITE DEER RUN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cove Forge Behavioral Health Systems
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750581609
- **Authorized official:** BRIAN P. FARLEY (VICE PRESIDENT & SECRETARY)
- **Authorized official phone:** (615) 861-6000

## Contact information

- **Practice address:** 202 COVE FORGE ROAD, WILLIAMSBURG, PA 16693-9673
- **Practice address phone:** (800) 873-2131
- **Mailing address:** 4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
- **Mailing address phone:** (615) 861-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 077009 | PA | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 077009 | PA | — |
| 261Q00000X | Clinic/Center | 077009 | PA | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | 077009 | PA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 077009 | PA | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 077009 | PA | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 077009 | PA | — |
| 324500000X | Substance Abuse Rehabilitation Facility | 077009 | PA | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | 077009 | PA | — |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 01/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007567870023 | — | PA |