Matt Talbot Recovery Services, Inc.

LBN: Matt Talbot Recovery Services, Inc.
Matt Talbot Recovery Services, Inc. is an health care organization with primary practice located at 2613 W North Ave , Milwaukee WI 53205-1056. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Matt Talbot Recovery Services, Inc. can be contacted via phone (414) 342-5474, or through Deshazor, Antoneo via phone (414) 793-3896.

Contact Information

Primary practice address
2613 W North Ave Milwaukee WI 53205-1056
Phone: (414) 342-5474
Fax: (414) 342-5476
Website:
Map and Directions
Authorized official contact:
Name: Deshazor, Antoneo
Phone: (414) 793-3896

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1174992895
LBN Legal business name Matt Talbot Recovery Services, Inc.
DBA Doing business as
Authorized official Deshazor, Antoneo
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2015
Last updated Sep 23rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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