CREATIVE CHALLENGE OUTREACH INC NPI 1982908919

NPI Information

NPI: 1982908919
Provider Name: CREATIVE CHALLENGE OUTREACH, INC
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
3252 N 1ST ST
MILWAUKEE, WI
ZIP 53212
Phone: (414) 264-4522
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CREATIVE CHALLENGE OUTREACH, INC is a voluntary or charitable in Milwaukee, WI. CREATIVE CHALLENGE OUTREACH, INC NPI is 1982908919. The provider is registered as an organization entity type.

The provider's business location address is:

3252 N 1ST ST
MILWAUKEE, WI
ZIP 53212-061
Phone: (414) 264-4522
Fax: (414) 264-2316

The provider's authorized official is Vivian Marie Houston .
The authorized official title is Director/psychotherapist and has the following contact phone number (414) 736-9882.

The enumeration date for this NPI number is 1/5/2011 and was last updated on 6/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		590-226	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	WISCONSIN	MA#12553874

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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