Sober Living in Madison, LLC
Sober Living in Madison, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Madison, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2101 N Sherman AveMadison, WI 53704-3932
Phone: (608) 520-7142
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1013633882 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mirzo Khasimov — President · (608) 520-7142 |
| NPI enumerated | October 13, 2022 |
| Last updated in NPPES | October 14, 2022 |
| Certification date | October 14, 2022 |
| Mailing address | 2101 N Sherman Ave, Madison, WI 53704-3932 |
Other providers in Madison
-
Manal Caring Home LLC
5206 Manitowoc Pkwy, Madison, WI 53705-4709 · (602) 559-6491
-
Geralyn Vaval, SAC-IT
555 Donofrio Dr Ste 201, Madison, WI 53719-2053 · (608) 820-1395