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Contact Information

PROVIDENCE LIVING TREATMENT CENTER
1223 N PROVIDENCE RD
MEDIA, PA19063
 Phone: 484-445-4145
 Fax: 888-373-9844
 Website: https://www.providencetreatment.com
Indicates primary specialty

NPI Profile & details for PROVIDENCE LIVING TREATMENT CENTER

NPI Number 1730562711
LBN Legal business name PROVIDENCE LIVING TREATMENT CENTER
Authorized official WILLIAM HERAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2015
Last updated 08/25/2025 - About 10 months ago
Identifiers
PA License # 237095
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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