| NPI | 1962965145 |
|---|---|
| Doing Business As | PROVIDENCE TREATMENT |
| Other Name | PROVIDENCE TREATMENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM HERAN CEO 484-445-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2025-08-25 |