Organization
PROVIDENCE LIVING LLC
Active
Other names
Providence Treatment, Providence Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J HERAN PHD, LCSW (CEO)
(808) 445-6780
Entity
Organization
Contact information
Practice address
1188 BISHOP ST STE 1008, HONOLULU, HI 96813-3304
(808) 445-6780
(888) 373-9844
Mailing address
1188 BISHOP ST STE 1008, HONOLULU, HI 96813-3304
(808) 445-6780
(888) 373-9844
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/03/2020
Last updated
05/07/2021
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