White Oak Wellness
Clinic/Center, Rehabilitation, Substance Use Disorder in White Oak, PA. Organization (NPI-2).
NPI number1124658331
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1124658331
- Entity type
- Organization (NPI-2)
- Legal business name
- White Oak Wellness
- Organization subpart
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
1966 Lincoln Way Ste 100White Oak, PA 15131-2416
Phone 412-673-5653 · Fax 412-673-5848
Mailing address
1966 Lincoln Way Ste 100White Oak, PA 15131-2416
Phone 412-673-5653 · Fax 412-673-5848
Authorized official
Rocco Anton Fulciniti
Physician
4126735653
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.