Organization
CORE TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN PERSAUD LPC CSAC ICS (CO-EXECUTIVE DIRECTOR)
(920) 663-1035
Entity
Organization
Contact information
Practice address
3 RIVERVIEW DR, MANITOWOC, WI 54220-3767
(920) 645-1411
Mailing address
PO BOX 1823, MANITOWOC, WI 54221-1823
(920) 663-1035
(920) 320-1734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158503
—
WI
05
—
100158506
—
WI
Enumeration date
10/03/2019
Last updated
03/24/2025
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