Healthcare Provider Details

I. General information

NPI: 1386890713
Provider Name (Legal Business Name): WHITE DEER RUN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OPEN BUILDING NUMBER 13 TORRANCE STATE HOSPITAL
TORRANCE PA
15779
US

IV. Provider business mailing address

PO BOX G BUILDING #13
TORRANCE PA
15779-0114
US

V. Phone/Fax

Practice location:
  • Phone: 724-459-9700
  • Fax:
Mailing address:
  • Phone: 724-459-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIAN P. FARLEY
Title or Position: VICE PRESIDENT & SECRETARY
Credential:
Phone: 615-861-6000