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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 | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1942920459 |
| LBN Legal business name | PROVIDENCE LIVING LLC |
| Authorized official | DUNG LAU - (COO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/02/2022 |
| Last updated | 08/21/2025 - About 10 months ago |
| Identifiers | n/a |
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PROVIDENCE LIVING LLC