Organization · Type 2 NPI
Providence Living LLC
Substance Abuse Rehabilitation Facility · Honolulu, HI
NPI number
1003413097
Active
Practice location
1188 Bishop St Ste 1008
Honolulu, HI 96813-3304
Fax (888) 373-9844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
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About NPI 1003413097
Providence Living LLC's National Provider Identifier is 1003413097, issued on Oct 3, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Honolulu, HI. The record was last updated on May 7, 2021.