| Core Treatment Services, Inc. | |
|
3 Riverview Dr Manitowoc WI 54220-3767 | |
| (920) 645-1411 | |
| Not Available |
| Full Name | Core Treatment Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 3 Riverview Dr, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Carmen Persaud (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9206451411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Treatment Services, Inc. 13928 Saint Andrews Dr Valders WI 54245-9550 Ph: () - | Core Treatment Services, Inc. 3 Riverview Dr Manitowoc WI 54220-3767 Ph: (920) 645-1411 |
| NPI Number | 1659912319 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
| Medicare PECOS PAC ID | 6608267430 |
|---|---|
| Medicare Enrollment ID | O20220105000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659912319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Debra J Wentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164524237 PECOS PAC ID: 0840220778 Enrollment ID: I20050819000379 |
| Provider Name | Mary E Spaulding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023654829 PECOS PAC ID: 1658758164 Enrollment ID: I20220520002270 |
| Provider Name | Heather Marie Bruckschen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831609098 PECOS PAC ID: 0749633923 Enrollment ID: I20240124003898 |
| Provider Name | Rose Marie Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720662018 PECOS PAC ID: 4082059548 Enrollment ID: I20240224000096 |
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