Individual provider · Type 1 NPI
Gregory John Matysik, LPC, CSAC, PhD
Substance Abuse Rehabilitation Facility · Monona, WI
NPI number
1407170814
Active
Practice location
300 Femrite Dr
Monona, WI 53716-3716
Fax (608) 222-0453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 3847 125 (WI) |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 15307 132 (WI) |
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.
22 other providers at this address
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- Tellurian, Inc.Mental Illness Community Based Residential Treatment Facility Monona, WI NPI 1609129410
- Tellurian, Inc.Community/Behavioral Health Agency Monona, WI NPI 1740213776
- Alyssa Mae Frank, APSWCounselor Monona, WI NPI 1912745431
- Amy R. Piccolo, BAMental Health Counselor Monona, WI NPI 1659629897
- Caitlin Mary Clifford, LPC-IT, ATR-PAddiction (Substance Use Disorder) Counselor Monona, WI NPI 1801493994
- Gerald Wistein, ICS, CSAC, MSWAddiction (Substance Use Disorder) Counselor Monona, WI NPI 1073756623
- Gina Bryan, DNPNurse Practitioner Monona, WI NPI 1558578450
- Heather E. Schneider, LPCAddiction (Substance Use Disorder) Counselor Monona, WI NPI 1598223455
- James E. Kilgore, CSAC, ICSAddiction (Substance Use Disorder) Counselor Monona, WI NPI 1164929253
- Jennifer R. Klawitter, LPC, SACCounselor Monona, WI NPI 1992202360
About NPI 1407170814
Gregory John Matysik, LPC, CSAC, PhD's National Provider Identifier is 1407170814, issued on Mar 15, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Monona, WI. The record was last updated on Mar 15, 2010.