Organization
WHITE OAK RUN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE MACOWSKI (VP FINANCE)
(561) 557-7511
Entity
Organization
Contact information
Practice address
47 CHAMBERS CIRCLE RD, WALKER, WV 26180-3585
(561) 557-7511
Mailing address
749 US HIGHWAY 1, NORTH PALM BEACH, FL 33408-4400
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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