NPI 1134883200

Satori House Recovery INC

Organisation Peer Specialist Baraboo, WI

Practice location

Address: 102 4th Ave, Baraboo, WI 53913-2175
Phone: (606) 433-7329
Mailing address: 309 Oak Crest Ave, Madison, WI 53705-2736

Authorised official

Name: Jake Edward Niesen
Title: Director
Phone: (414) 335-5933

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1134883200
Entity type: Organization
NPI issued: 26 Oct 2021
Record last updated: 26 Oct 2021

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.