NPI | 1376300137 |
---|---|
Other Name | MATS |
Entity Type | Organization |
Authorized Contact | CESAR A COBARRUVIAS Cmo 715-807-7917 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QP2300X Clinic/Center, Primary Care | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2024-02-28 |
Last Update Date | 2024-02-28 |