NPI 1417546250

Matt Talbot Recovery Services, INC

Organisation Substance Abuse Rehabilitation Facility Racine, WI

Practice location

Address: 1725 Spring Pl, Racine, WI 53404-2944
Phone: (414) 939-7145
Fax: (414) 321-5935
Mailing address: 2819 W Highland Blvd, Milwaukee, WI 53208-3217

Authorised official

Name: Karl Rajani
Title: Ceo
Phone: (414) 301-6381

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1417546250
Entity type: Organization
NPI issued: 15 Jan 2021
Record last updated: 15 Jan 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.