Providence Living LLC
NPI #1003413097 in Honolulu, Hawaii
Provider Information
- NPI Number
- 1003413097
- Entity Type
- Organization
- Organization Name
- Providence Living LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 3, 2020
- Last Updated
- May 7, 2021
Practice Location
Authorized Official
- Name
- DR. WILLIAM J HERAN, PHD, LCSW
- Title
- CEO
- Phone
- (808) 445-6780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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