Organization · Type 2 NPI
Sober Living In Madison, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Madison, WI
NPI number
1013633882
Active
Practice location
2101 N Sherman Ave
Madison, WI 53704-3932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Clinical Medical Laboratory | 291U00000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1013633882
Sober Living In Madison, LLC's National Provider Identifier is 1013633882, issued on Oct 13, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Madison, WI. The record was last updated on Oct 14, 2022.