| Providence Treatment | |
|
280 N Providence Rd Ste 2 Media PA 19063-3525 | |
| (484) 445-4145 | |
| (888) 373-9844 |
| Full Name | Providence Treatment |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 280 N Providence Rd Ste 2, Media, Pennsylvania |
| Authorized Official Name and Position | William J Heran (CEO) |
| Authorized Official Contact | 4844454145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Treatment 280 N Providence Rd Ste 2 Media PA 19063-3525 Ph: (484) 445-4145 | Providence Treatment 280 N Providence Rd Ste 2 Media PA 19063-3525 Ph: (484) 445-4145 |
| NPI Number | 1730562711 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 12/23/2022 |
| Certification Date | 12/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730562711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 237095 (Pennsylvania) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 237095 (Pennsylvania) | Primary |
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