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A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Rehabilitation, Substance Use Disorder Unit |
276400000X |
| NPI # | 1184367567 |
| LBN Legal business name | PROVIDENCE HOUSE LLC |
| Authorized official | MORGAN LAYNE - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/14/2022 |
| Last updated | 07/26/2024 - More than a year ago |
| Identifiers | n/a |
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PROVIDENCE HOUSE LLC
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| GINA PIERCE PO BOX 71 ABERCROMBIE, ND |
PROVIDENCE HOUSE LLC