Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIE DEEANJLO0 WHITE, LICDC-CS
Active Sole ProprietorWILLIE DEEANJLO0 WHITE, LICDC-CS is a Substance Abuse Rehabilitation Facility healthcare provider located in LONDON, Ohio. NPI 1730576091 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · LONDON, OH
Registration Details
- NPI Number
- 1730576091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2015 (11.354940035607 yrs)
- Last Updated
- Apr 27, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
1580 STATE ROUTE 56 SWLONDON, OH, 431408623Browse OH providers · Browse ZIP 43140
- Phone
- 7408522454
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.