Organization
WHITE DEER RUN, INC
Active
Other names
Cove Forge Behavioral Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P. FARLEY (VICE PRESIDENT & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
202 COVE FORGE ROAD, WILLIAMSBURG, PA 16693-9673
(800) 873-2131
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
077009
PA
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007567870023
—
PA
Enumeration date
07/19/2007
Last updated
01/20/2026
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