Organization
JJD MADISON HOLDINGS
Active
Other names
Madison Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MCKENZIE (PARTNER)
(608) 438-3131
Entity
Organization
Contact information
Practice address
301 SOUTH LIVINGSTON ST STE 200, MADISON, WI 53703-5401
(608) 438-3131
Mailing address
301 SOUTH LIVINGSTON ST STE 200, MADISON, WI 53703-5401
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3517
DEPARTMENT OF HEALTH SERVICES
WI
Enumeration date
09/21/2023
Last updated
06/06/2024
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