Organization
WHITE OAK RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN JOHNSON (CEO)
(704) 450-2117
Entity
Organization
Contact information
Practice address
7838 VANTAGE AVE, NORTH HOLLYWOOD, CA 91605-2408
(704) 450-2117
Mailing address
4009 MASONBORO LOOP RD, WILMINGTON, NC 28409-3640
(704) 450-2117
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
11/27/2024
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