MEDICARE: COMMUNITY ADVOCATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1952608721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY ADVOCATES, INC

Provider Business Mailing Address
First Line	:	4906 W FOND DU LAC AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2325
Country	:	US
Telephone Number	:	414-449-4777
Fax Number	:	414-270-2971

Provider Business Practice Location Address
First Line	:	4906 W FOND DU LAC AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2325
Country	:	US
Telephone Number	:	414-449-4777
Fax Number	:	414-270-2971

Authorized Official
Title or Position	:	CEO
Name	:	ANDI MALLMANN-ELLIOTT
Credential	:
Telephone Number	:	414-270-2941

Provider Enumeration Date	:	02/14/2011
Last Update Date	:	12/20/2024

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