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Organization

KABBA RECOVERY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA JANE ALLEE-JATTA (OWNER)
(646) 750-5416
Entity
Organization

Contact information

Practice address
1955 W BROADWAY STE 102, MONONA, WI 53713-3700
(646) 750-5416
Mailing address
1955 W BROADWAY STE 102, MONONA, WI 53713-3700
(646) 750-5416

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100076669
WI
Enumeration date
02/13/2020
Last updated
02/26/2020
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