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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 Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
 

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
Indicates primary specialty

NPI Profile & details for MAT RECOVERY CENTERS LLC

NPI # 1861354607
LBN Legal business name MAT RECOVERY CENTERS LLC
Authorized official ED LETOURNEAU - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/01/2025
Last updated 12/08/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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