Organization
WHITE OAK RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN X JOHNSON (CEO)
(704) 450-2117
Entity
Organization
Contact information
Practice address
6023 HAZELTINE AVE, VAN NUYS, CA 91401-3525
(704) 450-2117
Mailing address
4009 MASONBORO LOOP RD, WILMINGTON, NC 28409-3640
(704) 450-2117
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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