The Retreat at White Birch LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

357241 Issued in PA

Legal business name

THE RETREAT AT WHITE BIRCH LLC

Doing business as

The Retreat at White Birch

Practice address

25 Reservoir St
Simpson, PA 18407-1300

Phone

(570) 702-4778

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Lavelle

Title

Ceo

Phone

(570) 702-4778

Specialties & licenses 1

Addresses

Other names 1

• The Retreat at White Birch Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1366836884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RESERVOIR ST",
            "city": "SIMPSON",
            "state": "PA",
            "postal_code": "184071300",
            "telephone_number": "570-702-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RESERVOIR ST",
            "city": "SIMPSON",
            "state": "PA",
            "postal_code": "184071300",
            "telephone_number": "570-702-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETREAT AT WHITE BIRCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-702-4778"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "357241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Retreat at White Birch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Simpson, PA
• Providers in Simpson, PA by specialty
• Substance Abuse Rehabilitation Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.