Organization
PROVIDENCE LIVING LLC
Active
Other names
Providence Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUNG GABE LAU PHD (COO)
(617) 314-7544
Entity
Organization
Contact information
Practice address
896 BEACON ST STE A, BOSTON, MA 02215-3033
(617) 314-7544
(888) 373-9844
Mailing address
896 BEACON ST STE A, BOSTON, MA 02215-3033
(617) 314-7544
(888) 373-9844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
08/21/2025
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