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Organization

MATT TALBOT RECOVERY SERVICES, INC.

Active
Other names
2nd Century
Organization subpart
No

Provider details

NPI number
Authorized official
KARL RAJANI (CEO)
(414) 301-6381
Entity
Organization

Contact information

Practice address
2187 S 85TH ST, MILWAUKEE, WI 53227-1747
(414) 321-5936
(414) 321-5935
Mailing address
2819 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3217
(414) 939-7145
(414) 321-5935

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
11/25/2020
Last updated
12/09/2020
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