Organization
STRATA PSYCHOTHERAPY & ADHD SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MATZ MS MFT-IT (OWNER/THERAPIST)
(608) 577-6289
Entity
Organization
Contact information
Practice address
6701 SEYBOLD RD STE 114, MADISON, WI 53719-1388
(608) 577-6289
Mailing address
733 STRUCK ST UNIT 45031, MADISON, WI 53744-3636
(608) 577-6289
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14001869
CAQH
—
Enumeration date
02/26/2018
Last updated
02/26/2018
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