National Provider Identifier Database

MAT RECOVERY CENTERS LLC
Rehabilitation, Substance Use Disorder


Contact Information

MAT RECOVERY CENTERS LLC
3598 CANYON PARK RD
DODGEVILLE, WI53533-9066
Phone: 708-204-8602
Fax: 708-204-8602
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for MAT RECOVERY CENTERS LLC

NPI Number 1861354607
Legal business name
LBN
MAT RECOVERY CENTERS LLC
Authorized official ED LETOURNEAU - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 12/01/2025
Last updated 12/08/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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