* Indicates primary specialty
| NPI Number | 1730562711 |
| Legal business name LBN |
PROVIDENCE LIVING TREATMENT CENTER |
| Authorized official | WILLIAM HERAN - (CEO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 07/08/2015 |
| Last updated | 08/25/2025 - About 10 months ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
There are currently no reviews for PROVIDENCE LIVING TREATMENT CENTER