Organization
COMMUNITY CARE RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J SIMON MSSW (EXECUTIVE DIRECTOR)
(608) 827-7100
Entity
Organization
Contact information
Practice address
6717 STONE GLEN DRIVE, MIDDLETON, WI 53562-3876
(608) 827-7100
(608) 827-7101
Mailing address
6717 STONE GLEN DRIVE, MIDDLETON, WI 53562-3876
(608) 827-7100
(608) 827-7101
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1220
WI
253J00000X
Foster Care Agency
180017
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42179100
—
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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