Organization
WHITE HAVEN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASMITA C SHAH M.D. (SUPERVISORY PHYSICIAN)
(570) 443-4326
Entity
Organization
Contact information
Practice address
827 OLEY VALLEY RD, WHITE HAVEN, PA 18661-3043
(570) 443-4326
(570) 443-4143
Mailing address
827 OLEY VALLEY RD, WHITE HAVEN, PA 18661-3043
(570) 443-4326
(570) 443-4143
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MD033055E
PA
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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