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Organization

OUR SPACE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NORA HITCHCOCK MHA (EXECUTIVE DIRECTOR)
(414) 383-8921
Entity
Organization

Contact information

Practice address
1527 W NATIONAL AVE, MILWAUKEE, WI 53204-2141
(414) 383-8921
(414) 383-9016
Mailing address
1527 W NATIONAL AVE, MILWAUKEE, WI 53204-2141
(414) 383-8921
(414) 383-9016

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
224Z00000X
Occupational Therapy Assistant
225XM0800X
Mental Health Occupational Therapist

Other

Enumeration date
02/10/2016
Last updated
03/18/2026
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