Individual provider · Type 1 NPI
Willie Deeanjlo0 White, LICDC-CS
Substance Abuse Rehabilitation Facility · London, OH
NPI number
1730576091
Active
Practice location
1580 State Route 56 SW
London, OH 43140-8623
Mailing address
770 W Broad St
Columbus, OH 43222-1419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4 other providers at this address
- State of OhioCommunity/Behavioral Health Agency London, OH NPI 1902218779
- Barbara Jean Woods, MDInternal Medicine Physician London, OH NPI 1710264569
- Trina Marie Bottorff, NP-CFamily Nurse Practitioner London, OH NPI 1770893489
- Veronica Denise Bellamy, LICDC 161589Addiction (Substance Use Disorder) Counselor London, OH NPI 1437651346
About NPI 1730576091
Willie Deeanjlo0 White, LICDC-CS's National Provider Identifier is 1730576091, issued on Apr 23, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in London, OH. The record was last updated on Apr 27, 2015.