NPI 1013633882

Sober Living in Madison, LLC

Organisation Substance Use Disorder Rehabilitation Clinic/Center Madison, WI

Practice location

Address: 2101 N Sherman Ave, Madison, WI 53704-3932
Phone: (608) 520-7142

Authorised official

Name: Mirzo Khasimov
Title: President
Phone: (608) 520-7142

Registered specialties (3)

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Wisconsin →

Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X

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Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

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Registry record

NPI: 1013633882
Entity type: Organization
NPI issued: 13 Oct 2022
Record last updated: 14 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.