Matt Talbot Recovery Services, Inc
Matt Talbot Recovery Services, Inc is a Community/Behavioral Health Agency in Waukesha, Wisconsin. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
611 N Grand AveWaukesha, WI 53186-4918
Phone: (414) 939-7145
Fax: (414) 321-5935
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1659960102 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karl Rajani — Ceo · (414) 301-6381 |
| Other names | Samson House |
| NPI enumerated | January 11, 2021 |
| Last updated in NPPES | January 11, 2021 |
| Certification date | January 11, 2021 |
| Mailing address | 2819 W Highland Blvd, Milwaukee, WI 53208-3217 |
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