NPI 1003413097

Providence Living LLC

Organisation Substance Abuse Rehabilitation Facility Honolulu, HI

Practice location

Address: 1188 Bishop St STE 1008, Honolulu, HI 96813-3304
Phone: (808) 445-6780
Fax: (888) 373-9844

Authorised official

Name: William J Heran
Title: Ceo
Phone: (808) 445-6780

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Hawaii →

Registry record

NPI: 1003413097
Entity type: Organization
NPI issued: 3 Oct 2020
Record last updated: 7 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.