# MIDWEST ADDICTION TREATMENT SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mats
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376300137
- **Authorized official:** DR. CESAR A COBARRUVIAS DO (CMO)
- **Authorized official phone:** (715) 807-7917

## Contact information

- **Practice address:** 450 S GREEN AVE, NEW RICHMOND, WI 54017
- **Practice address phone:** (715) 807-7917
- **Mailing address:** 450 S GREEN AVE, NEW RICHMOND, WI 54017
- **Mailing address phone:** (715) 807-7917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | — | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | — | — |

## Other

- **Enumeration date:** 02/28/2024
- **Last updated:** 02/28/2024