SOBER LIVING IN MADISON, LLC

MADISON, WI
NPI1013633882
Entity TypeOrganization
Authorized ContactMIRZO KHASIMOV
President
608-520-7142
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Additional Taxonomies291U00000X Clinical Medical Laboratory
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2022-10-13
Last Update Date2022-10-14
Business Address
SOBER LIVING IN MADISON, LLC
2101 N SHERMAN AVE
MADISON, WI 53704-3932
Phone number: 608-520-7142
Mailing Address
SOBER LIVING IN MADISON, LLC
2101 N SHERMAN AVE
MADISON, WI 53704-3932
Phone number: 608-520-7142