Organization · Type 2 NPI

Matt Talbot Recovery Services, Inc

Substance Abuse Rehabilitation Facility · Waukesha, WI

NPI number 1659960102 Active

Practice location

611 N Grand Ave
Waukesha, WI 53186-4918

Fax (414) 321-5935

Mailing address

2819 W Highland Blvd
Milwaukee, WI 53208-3217

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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 1659960102

Matt Talbot Recovery Services, Inc's National Provider Identifier is 1659960102, issued on Jan 11, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Waukesha, WI. The record was last updated on Jan 11, 2021.