# WHITE HAVEN CENTER

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

## Provider details

- **NPI number:** 1871514620
- **Authorized official:** DR. ASMITA C SHAH M.D. (SUPERVISORY PHYSICIAN)
- **Authorized official phone:** (570) 443-4326

## Contact information

- **Practice address:** 827 OLEY VALLEY RD, WHITE HAVEN, PA 18661-3043
- **Practice address phone:** (570) 443-4326
- **Practice address fax:** (570) 443-4143
- **Mailing address:** 827 OLEY VALLEY RD, WHITE HAVEN, PA 18661-3043
- **Mailing address phone:** (570) 443-4326
- **Mailing address fax:** (570) 443-4143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MD033055E | PA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/22/2020