| Organization Name: | C.O.R.E.,LLC |
| NPI Number: | 1093912768 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID DROPKIN (OWNER) |
| Mailing Address: | 4555 W Schroeder Dr Ste 185 Brown Deer |
| State: | WI US |
| Postal Code: | 532231494 |
| Phone Number: | 4145860222 |
| Fax Number: | 4145860236 |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 07/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM2800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Methadone Clinic |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |