Provider Demographics
NPI:1093912768
Name:C.O.R.E.,LLC
Entity Type:Organization
Organization Name:C.O.R.E.,LLC
Other - Org Name:COMMUNITY OPTIONS FOR RECOVERY AND EMPOWERMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LC, LMFT
Authorized Official - Phone:414-586-0222
Mailing Address - Street 1:4555 W SCHROEDER DR STE 185
Mailing Address - Street 2:
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-1494
Mailing Address - Country:US
Mailing Address - Phone:414-586-0222
Mailing Address - Fax:414-586-0236
Practice Address - Street 1:4555 W SCHROEDER DR STE 185
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-1494
Practice Address - Country:US
Practice Address - Phone:414-586-0222
Practice Address - Fax:414-586-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42031100Medicaid
WI42247300Medicaid