Organization
PROVIDENCE LIVING LLC
Active
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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