| NPI | 1003413097 |
|---|---|
| Other Name | PROVIDENCE TREATMENT |
| Doing Business As | PROVIDENCE TREATMENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J HERAN CEO 808-445-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2021-05-07 |