| Kabba Recovery Services | |
|
1955 W Broadway Ste 102 Monona WI 53713-3700 | |
| (646) 750-5416 | |
| Not Available |
| Full Name | Kabba Recovery Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1955 W Broadway Ste 102, Monona, Wisconsin |
| Authorized Official Name and Position | Sara Jane Allee-jatta (OWNER) |
| Authorized Official Contact | 6467505416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kabba Recovery Services 1955 W Broadway Ste 102 Monona WI 53713-3700 Ph: (646) 750-5416 | Kabba Recovery Services 1955 W Broadway Ste 102 Monona WI 53713-3700 Ph: (646) 750-5416 |
| NPI Number | 1255964748 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255964748 | NPI | - | NPPES |
| 100076669 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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