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C.o.r.e.,llc
Methadone Clinic in Brown Deer, Wisconsin
NPI 1093912768

C.o.r.e.,llc is a Methadone Clinic based in Brown Deer, WI and is specialized in Methadone. C.o.r.e.,llc practices in Brown Deer, WI. The NPI Number for C.o.r.e.,llc is 1093912768 and holds a License No. (Wisconsin).

The current practice location address for C.o.r.e.,llc is 4555 W Schroeder Dr Ste 185, Brown Deer, WI and can be reached out via phone at 414-586-0222 and via fax at 414-586-0236.

Location: 4555 W Schroeder Dr Ste 185, Brown Deer, WI, 53223-1494
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093912768
Provider Name
C.o.r.e.,llc
Credential
Provider Entity Type
Organization
Address
4555 W Schroeder Dr Ste 185, Brown Deer, WI, 53223-1494
Phone Number
414-586-0222
Fax Number
414-586-0236
Provider Enumeration Date
06/27/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42031100 05 WI
42247300 05 WI
institution
Provider Business Practice Location Address Details
Address
4555 W Schroeder Dr Ste 185
City
Brown Deer
State
Wisconsin
Zip
53223-1494
Phone Number
414-586-0222
Fax Number
414-586-0236
person
Provider Business Mailing Address Details
Address
4555 W Schroeder Dr Ste 185
City
Brown Deer
State
Wisconsin
Zip
53223-1494
Phone Number
414-586-0222
Fax Number
414-586-0236
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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