| NPI | 1730562711 |
|---|---|
| Doing Business As | PROVIDENCE TREATMENT |
| Other Name | PROVIDENCE TREATMENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J HERAN CEO 484-445-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 237095) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 237095) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2022-12-23 |