OrganizationActive
Providence Living LLC
NPI 1942920459 · Substance Abuse Rehabilitation Facility · Boston, MA
Provider details
- NPI number
- 1942920459
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Dung Lau, Coo
Practice location
896 Beacon St Ste a
Boston, MA 02215-3033
Phone: (617) 314-7544
Fax: (888) 373-9844
Mailing address
896 Beacon St Ste a
Boston, MA 02215-3033
Registry dates
- Enumerated
- 2022-09-02
- Last updated
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.