Organization
THE RETREAT AT WHITE BIRCH LLC
Active
Organization
THE RETREAT AT WHITE BIRCH LLC
Active
Other names
The Retreat at White Birch
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LAVELLE (CEO)
(570) 702-4778
Entity
Organization
Contact information
Practice address
25 RESERVOIR ST, SIMPSON, PA 18407-1300
(570) 702-4778
Mailing address
25 RESERVOIR ST, SIMPSON, PA 18407-1300
(570) 702-4778
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
357241
PA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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